Dr Mamatha K Agrawal, MD - Medicare Family Practice in Raleigh, NC

Dr Mamatha K Agrawal, MD is a medicare enrolled "Family Medicine" physician in Raleigh, North Carolina. She went to Northwestern University Feinberg Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Unc Physicians Network and her current practice location is 4551 New Bern Ave # A100, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 215-4960.

Dr Mamatha K Agrawal is licensed to practice in North Carolina (license number 200000169) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205864659.

Contact Information

Dr Mamatha K Agrawal, MD
4551 New Bern Ave # A100,
Raleigh, NC 27610-1551
(984) 215-4960
(984) 215-4965

Map and Direction




Physician's Profile

Full NameDr Mamatha K Agrawal
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location4551 New Bern Ave # A100, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mamatha K Agrawal attended and graduated from Northwestern University Feinberg Medical School in 1997
  NPI Data:
  • NPI Number: 1205864659
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820988777
  • Enrollment ID: I20110927000823

Medical Identifiers

Medical identifiers for Dr Mamatha K Agrawal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205864659NPI-NPPES
7478171OtherNCAETNA PPO
B4846OtherNCMEDCOST
010066307OtherNCRAILROAD MEDICARE
0156615OtherNCUHC
8443512OtherNCCIGNA
89127VUMedicaidNC
171525OtherNCWELLPATH
116335OtherNCAETNA HMO
127VUOtherNCBCBS
228096OtherNCMAMSI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200000169 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rex HospitalRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unc Physicians Network5496940546719

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mamatha K Agrawal allows following entities to bill medicare on her behalf.
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mamatha K Agrawal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mamatha K Agrawal, MD
4551 New Bern Ave # A100,
Raleigh, NC 27610-1551

Ph: (984) 215-4950
Dr Mamatha K Agrawal, MD
4551 New Bern Ave # A100,
Raleigh, NC 27610-1551

Ph: (984) 215-4960

Reviews and Comments


Family Medicine Doctors in Raleigh, NC

Conrad Flick, M.D.
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Practice Location: 3500 Bush St, Raleigh, NC 27609
Phone: 919-875-8150    Fax: 919-875-9577
Dr. Christopher Zaguirre Rayala, M.D.
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Practice Location: 150 E Davie St, Raleigh, NC 27601
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Dr. Mona Soliman, M.D.
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Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614
Phone: 919-570-7700    
Douglas Ira Hammer, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1207 Watauga St, Raleigh, NC 27604
Phone: 919-215-5078    
William Grant Jr., MD
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Medicare: Accepting Medicare Assignments
Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614
Phone: 919-747-5270    Fax: 919-747-5271
Mrs. Soenda P Norman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10211 Alm St, Suite 1200, Raleigh, NC 27617
Phone: 919-206-4889    Fax: 919-206-4875
Dr. Jason Joseph Troiano, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Donald Ross Dr, Raleigh, NC 27610
Phone: 919-250-3320    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.