Individual provider Active NPI

Crystal Ugochi Aguh, M.D.

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1063702553
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D80005 Issued in MD
Practice address
1550 Orleans St
CRB II Room 211
Baltimore, MD 21287-0014
Phone
(410) 955-2400
Fax
(410) 955-8645
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D80005 MD Primary

Addresses

Primary practice location

1550 Orleans St
CRB II Room 211
Baltimore, MD 21287-0014

Mailing address

1550 Orleans St
CRB II Room 211
Baltimore, MD 21287-0014
Phone (410) 955-2400

Other names 1

  • Ugochi Crystal Agi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150828000897 MD Practitioner - Dermatology 9335398635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions56
Skin biopsy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D80005MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Dermatology CurrentSince Aug 10, 2015 Accepting new patients
Johns Hopkins University CurrentSince Aug 10, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Interoperability endpoints

  • Direct secure messaging: caguh32892@direct.hopkinsmedicine.org

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 1

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1063702553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ORLEANS ST",
            "address_2": "CRB II ROOM 211",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870014",
            "telephone_number": "410-955-2400",
            "fax_number": "410-955-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ORLEANS ST",
            "address_2": "CRB II ROOM 211",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870014",
            "telephone_number": "410-955-2400",
            "fax_number": "410-955-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUH",
        "first_name": "CRYSTAL",
        "middle_name": "UGOCHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D80005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UGOCHI",
            "last_name": "AGI",
            "middle_name": "CRYSTAL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.