NPIMap

Individual provider Active NPI

Benjamin T Agana Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Shenandoah, TX
National Provider Identifier
1063455111
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J4680 Issued in TX
Practice address
9200 Pinecroft Dr
Ste.# 360
Shenandoah, TX 77380-3279
Phone
(281) 419-3366
Fax
(281) 419-2233
NPI assigned
Jun 14, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J4680 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr
Ste.# 360
Shenandoah, TX 77380-3279

Mailing address

PO Box 690687
Houston, TX 77269
Phone (781) 586-4100

Other identifiers 3

IdentifierTypeStateIssuer
096845503MedicaidTX
8A2610OtherTXBCBS
250012118OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040618001220 TX Practitioner - Physical Medicine and Rehabilitation 2466437074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rush Medical College of Rush University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Therapy LLCGroup PAC ID 6709311855, 28 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Houston, TX 77069
Phone (281) 419-3366

8008 Ashlane Way
Suite 120
Spring, TX 77382-2106
Phone (281) 914-4679

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Agana Associates PA Physical Medicine & Rehabilitation CurrentSince Mar 1, 2003 Accepting new patients
Encompass Health Rehabilitation Hospital the Vintage, LLC Past Accepting new patients

Locations

13231 Champion Forest Dr
Ste 101
Houston, TX 77069
Phone (281) 419-3366

9200 Pinecroft Dr
Ste 360
Shenandoah, TX 77380
Phone (281) 419-3366

9180 Pinecroft Dr
Ste 250
Shenandoah, TX 77380
Phone (281) 955-9158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDIAA/Endpoint/GIDIAA
  • Direct secure messaging: bagana39965@direct.stlukeshealth.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Champions Healthcare at WillowbrookHouston, TX, CCN 676236 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 1

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

  • Oakbend Medical Center

    dba Champions Healthcare at Willowbrook

    • Skilled Nursing Facility
    • Houston, TX
    • NPI 1437933876

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1063455111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690687",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77269",
            "telephone_number": "781-586-4100",
            "fax_number": "781-580-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "STE.# 360",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-3366",
            "fax_number": "281-419-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGANA",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096845503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A2610",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250012118",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.