Jose Luis Agusti, M.D.
Individual provider Active NPI Internal Medicine Physician · Winfield, IN
NPI 1033192604 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1033192604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01061624A (IN)
- Practice address
- 4900 E 107TH CT
Winfield, IN 46307-2862 - Phone
- (219) 386-5018
- Fax
- (219) 472-0089
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- 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
- Star Home Health Inc
- Assured Home Healthcare Inc
- Canary Home Healthcare of Indiana Inc
- Powers Home Health Services
- Divine Home Health Services Inc
- Transitions Crown Point, LLC
- Transitions Indiana, LLC
- Transitions Fort Wayne, LLC
- Northwestern Medicine Central Dupage Hospital
- Community Hospital
- St Mary Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.98 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 56.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 44 |
| Removal of nail tissue | 26 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Transitions Indiana, LLC |
Hospice | Contracted Managing Employee | Jan 24, 2025 |
| Transitions Fort Wayne LLC |
Hospice | Contracted Managing Employee | Jan 24, 2025 |
| Transitions Crown Point LLC. |
Hospice | Contracted Managing Employee | Apr 22, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060724000077 | IN | Practitioner - Internal Medicine | 4688569122 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agusti Medical Corporation | Internal Medicine | Current |
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 |
| Transitions Indiana, LLC | 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
- jose.agusti.p1@direct.thmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01061624A | IN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101129 / 05 | Medicaid | IL | |
| 000000488177 | Other | IN | ANTHEM |
| 200832510 | Medicaid | IN | |
| 01621679 | Other | IL | BCBS OF IL |
Other providers in Winfield, IN
- Agusti Medical Corporation
- Apc Holdings LLC
- Sarah Camel
- Stacy A Fredrickson
- Nicole Gilbert
- Janelle Golly
All providers in Winfield, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.