Individual provider Active NPI

Augustine Enyinna Agocha, M.D.

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1003863135
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME111542 Issued in FL
Practice address
3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696
Phone
(813) 497-9661
Fax
(813) 615-8468
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME111542 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696

Mailing address

3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696
Phone (813) 497-9661

Other identifiers 3

IdentifierTypeStateIssuer
315723MedicaidSC
004434500MedicaidFL
7716800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000663 FL Practitioner - Cardiovascular Disease (Cardiology) 6800998063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

3000 Medical Park Dr
Suite 300
Tampa, FL 33613-4696
Phone (813) 497-9661

3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (813) 607-3600

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Oct 20, 2021 Accepting new patients
Cardiothoracic Surgical Specialist of Cherry Hill P a Past Accepting new patients
Department of Internal Medicine Past Accepting new patients

Locations

16105 N Florida Ave
Ste E
Lutz, FL 33549
Phone (813) 644-4572

3000 Medical Park Dr
Ste 300
Tampa, FL 33613
Phone (813) 497-9661

3000 Medical Park Dr
Ste 320
Tampa, FL 33613
Phone (813) 336-5766

6919 N Dale Mabry Hwy
Ste 125
Tampa, FL 33614
Phone (813) 463-8009

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • FL HMO
  • FL HMO C-SNP
  • FL PPO
  • FL HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: aagocha227971@adventhealth.direct-ci.com
  • Direct secure messaging: aagocha@ccp-fl.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1003863135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134696",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134696",
            "telephone_number": "813-497-9661",
            "fax_number": "813-615-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOCHA",
        "first_name": "AUGUSTINE",
        "middle_name": "ENYINNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME111542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315723",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004434500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7716800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.