Adesubomi Agoro, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

K2394 Issued in TX

Practice address

1100 Pennsylvania Ave
Fort Worth, TX 76104-2120

Phone

(817) 763-5550

Fax

(817) 870-1280

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  NM

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New Mexico-TCG LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1376022822
  Medicare reassignment NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  NPD
• Alpha Pulmonary Critical Care Consultants, PLLC

  • Pulmonary Disease Physician
  • Burleson, TX
  • NPI 1295975316
  NPD (past)
• Alpha Pulmonary Critical Care Consultants, PLLC

  • Pulmonary Disease Physician
  • Fort Worth, TX
  • NPI 1609042449
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1073583076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042120",
            "telephone_number": "817-763-5550",
            "fax_number": "817-870-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042120",
            "telephone_number": "817-763-5550",
            "fax_number": "817-870-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGORO",
        "first_name": "ADESUBOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2394",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K2394",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045359901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ved V Aggarwal, MD
• Raafae Syed Agha, MD
• Ariana Aghassi-Chapman
• Agile Surgical Assistants, LLC
• Bianca Adrianna Agnello, FNP-C
• Ngozichukwuka Celestina Agu, MD
• Jose Aguilar Martinez, DO
• Alexandria Jamie Aguilar
• Delamor Aguilar, OTR, OTD, CBIS
• Elizabeth Aguilar

• Pulmonary Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.