NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1568795425 MD
Verify on CMS → Rajkumar Agarwal, MD
Neurology with Special Qualifications in Child Neurology Physician in Dayton, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,886 in Neurology with Special Qualifications in Child Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
37
Medicare Part D claims · Neurology with Special Qualifications in Child Neurology Physician avg: 360
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Rajkumar Agarwal, MD filed 37 Medicare Part D claims in 2024 as a Neurology with Special Qualifications in Child Neurology Physician in Dayton, Ohio.
- 37
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Rajkumar Agarwal, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1568795425), first enumerated 09/10/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 37 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Rajkumar Agarwal, MD's individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1568795425 · Neurology with Special Qualifications in Child Neurology Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1568795425
- ENUM-MID 2009
- TAX-NARROW 1,886
- RX-TRACE 37
- BOOK-THIN 112 in Ohio
- PHOTO-ENUM Puja Patel · 2009
Rajkumar Agarwal, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
37 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Rajkumar Agarwal, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Rajkumar Agarwal, MD?
Quality data not reportedPrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
37 90% vs specialty avg
Specialty distribution in Ohio
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology with Special Qualifications in Child Neurology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1568795425 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/10/2009 |
Hospital and facility affiliations
Facilities where Rajkumar Agarwal, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Dayton Childrens Specialty Physicians Inc
Dayton, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Rajkumar Agarwal, MD. To verify Rajkumar Agarwal, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
37
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 61
- Total Day Supply
- 1,798
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 22.5 years
- Avg HCC Risk Score
- 0.61
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Guanfacine Hcl | 13 |
| Levetiracetam | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in OH →
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Neurology with Special Qualifications in Child Neurology Physician Overview
How Rajkumar Agarwal, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,886
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
360
Avg Claims per Provider
Rajkumar Agarwal, MD's 37 claims are below the specialty average of 360.
Nationwide Neurology with Special Qualifications in Child Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Agarwal, both outside Ohio so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Agarwal.
One of 112 Neurology with Special Qualifications in Child Neurology Physician providers enrolled in Ohio, 5 are shown here.
Frequently Asked Questions
What is Rajkumar Agarwal, MD's specialty? ▼
Rajkumar Agarwal, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Dayton, Ohio. Credentials: MD.
How much does Rajkumar Agarwal, MD prescribe under Medicare Part D? ▼
In 2024, Rajkumar Agarwal, MD wrote 37 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is Rajkumar Agarwal, MD located? ▼
Rajkumar Agarwal, MD is located at 1 CHILDRENS PLZ, Dayton, OH, 45404. Phone: (937) 641-3000.
What is Rajkumar Agarwal, MD's NPI number? ▼
Rajkumar Agarwal, MD's National Provider Identifier (NPI) is 1568795425, issued on 09/10/2009.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,886 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 360 Medicare Part D claims per year.
What drugs does Rajkumar Agarwal, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Rajkumar Agarwal, MD's most frequently prescribed drugs include Guanfacine Hcl, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rajkumar Agarwal, MD accept Medicare? ▼
Rajkumar Agarwal, MD appears in CMS Medicare data with 37 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rajkumar Agarwal, MD's credentials? ▼
Rajkumar Agarwal, MD's NPI is 1568795425 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.