Individual provider Active NPI

Michael Mengesha Agonafir, M.D

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1093094146
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D72842 Issued in MD
Practice address
11303 Amherst Ave.
Silver Spring, MD 20902
Phone
(240) 833-8014
Fax
(240) 833-8047
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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 D72842 MD Primary

Addresses

Primary practice location

11303 Amherst Ave.
Silver Spring, MD 20902

Mailing address

11303 Amherst Ave.
Silver Spring, MD 20902
Phone (240) 833-8014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20121024000258 DC Practitioner - Internal Medicine 7113177379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11303 Amherst Ave
Suite 2
Silver Spring, MD 20902-4600
Phone (240) 833-8014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uni Urgent Care Current Accepting new patients
First Response Doctors Clinic Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11303 Amherst Ave
Ste 2
Silver Spring, MD 20902
Phone (240) 604-2949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7406/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.agonafir.1@7406.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1093094146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE.",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "240-833-8014",
            "fax_number": "240-833-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE.",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "240-833-8014",
            "fax_number": "240-833-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGONAFIR",
        "first_name": "MICHAEL",
        "middle_name": "MENGESHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D72842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.