NPIMap

Individual provider Active NPI

Jose Luis Agusti, M.D.

  • Internal Medicine Physician
  • Winfield, IN
National Provider Identifier
1033192604
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01061624A Issued in IN
Practice address
4900 E 107TH CT
Winfield, IN 46307-2862
Phone
(219) 386-5018
Fax
(219) 472-0089
NPI assigned
Nov 28, 2005
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061624A IN Primary

Addresses

Primary practice location

4900 E 107TH CT
Winfield, IN 46307-2862

Mailing address

4900 E 107TH CT
Winfield, IN 46307-2862
Phone (219) 900-3990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060724000077 IN Practitioner - Internal Medicine 4688569122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4900 E 107TH CT
Winfield, IN 46307-2862
Phone (219) 472-0309

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue44
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Agusti Medical Corporation Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Transitions Indiana, LLC PastSince Jan 24, 2025 Accepting new patients
Rehab Services Roosevelt, S.C. Internal Medicine Past Accepting new patients
Rehab Services Stoney Island, S.C. Internal Medicine Past Accepting new patients

Locations

8500 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 738-1925

2640 Hamstrom Rd
Portage, IN 46368
Phone (219) 359-3364

Interoperability endpoints

  • Direct secure messaging: jose.agusti.p1@direct.thmg.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Transitions Indiana, LLCIndianapolis, IN, CCN 151621 Hospice Contracted Managing Employee Jan 24, 2025
Transitions Fort Wayne LLCFort Wayne, IN, CCN 151652 Hospice Contracted Managing Employee Jan 24, 2025
Transitions Crown Point LLC.Crown Point, IN, CCN 151653 Hospice Contracted Managing Employee Apr 22, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1033192604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 E 107TH CT",
            "city": "WINFIELD",
            "state": "IN",
            "postal_code": "463072862",
            "telephone_number": "219-900-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 E 107TH CT",
            "city": "WINFIELD",
            "state": "IN",
            "postal_code": "463072862",
            "telephone_number": "219-386-5018",
            "fax_number": "219-472-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTI",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IN

Sources for this page

Verify at the official NPI Registry.