Individual provider Active NPI

Alex Alexander Agostini-Miranda, MD

  • Emergency Medicine Physician
  • Fargo, ND
National Provider Identifier
1104815117
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME95555 Issued in FL
Practice address
2101 Elm St N
Fargo, ND 58102-2417
Phone
(701) 232-3241
NPI assigned
Oct 21, 2005
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 43934 IA
Emergency Medicine Physician 207P00000X 76009 MN
Emergency Medicine Physician 207P00000X E-7802 AR
Emergency Medicine Physician 207P00000X MD0000039280 TN
Emergency Medicine Physician 207P00000X MD.30950 AL
Emergency Medicine Physician 207P00000X 44351 KY
Emergency Medicine Physician 207P00000X 20002 ND
Emergency Medicine Physician 207P00000X ME95555 FL Primary
Family Medicine Physician 207Q00000X MD.30950 AL
Family Medicine Physician 207Q00000X 76009 MN
Family Medicine Physician 207Q00000X 20002 ND
Family Medicine Physician 207Q00000X 43934 IA
Family Medicine Physician 207Q00000X ME95555 FL
Family Medicine Physician 207Q00000X MD0000039280 TN
Family Medicine Physician 207Q00000X 44351 KY

Addresses

Primary practice location

2101 Elm St N
Fargo, ND 58102-2417

Mailing address

2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 232-3241

Other practice location 1

9555 SW 162nd Ave
Emergency Room
Miami, FL 33196-6408
Phone (786) 228-6498

Other identifiers 1

IdentifierTypeStateIssuer
275224700MedicaidFL

Other names 1

  • Dr. Alex A Agostini Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aagostinimiranda794465@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, AL, KY, IA, MN, ND7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050808001147 TN Practitioner - Emergency Medicine 3274519590 Reassigns benefits to 3 organizations
I20061009000177 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 3274519590 Reassigns benefits to 4 organizations
I20120725000330 AL Practitioner - Family PracticePractitioner - Emergency Medicine 3274519590 Reassigns benefits to 2 organizations
I20141206000375 KY Practitioner - Emergency MedicinePractitioner - Family Practice 3274519590 Reassigns benefits to 4 organizations
I20170118002816 IA Practitioner - Emergency Medicine 3274519590 Reassigns benefits to 1 organization
I20240307002460 MN Practitioner - Family Practice 3274519590 Reassigns benefits to 3 organizations
I20240607001555 ND Practitioner - Family PracticePractitioner - Emergency Medicine 3274519590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians

Practice addresses (Care Compare)

9555 SW 162ND Ave
Emergency Department
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
96.66
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7802ARMDEmergency Medicine Physician
MD0000039280TNMDEmergency Medicine Physician
MD.30950ALMDFamily Medicine Physician
43934IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jan 25, 2026 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Mar 10, 2025 Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 6, 2019 Accepting new patients
Carris Health - Redwood LLC Emergency Medicine CurrentSince May 4, 2024 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Carris Health - Redwood LLC CurrentSince May 4, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Blue Paradise Medical Center LLC CurrentSince Sep 1, 2022 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine CurrentSince Nov 6, 2017 Accepting new patients
Redwood Area Hospital Current Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Oct 9, 2018 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Nov 6, 2017 Accepting new patients
Lutheran Charity Association CurrentSince May 11, 2024 Accepting new patients
CCM Health Current Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Jun 19, 2022 Accepting new patients
Floyd Emergency Group, LLC Emergency Medicine CurrentSince Dec 11, 2021 Accepting new patients
Lutheran Charity Association Emergency Medicine CurrentSince May 11, 2024 Accepting new patients
Iowa Emergency Services LLC Emergency Medicine CurrentSince Jun 12, 2018 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Agostini&Associates, PA Past Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine Past Accepting new patients
Foley Emergency Physicians, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients
Servicios Medicos Universitarios Inc Past Accepting new patients

Locations (25 of 31)

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

5941 NW 173rd Dr
Unit B
Hialeah, FL 33015
Phone (786) 360-4328

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

75 Remit Dr
Chicago, IL 60675

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

Interoperability endpoints

  • Direct secure messaging: aagostinimiranda794465@direct.centracare.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 29

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.

View all 29

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1104815117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-232-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-232-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 SW 162nd Ave",
            "address_2": "EMERGENCY ROOM",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966408",
            "country_code": "US",
            "telephone_number": "786-228-6498",
            "fax_number": "888-435-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOSTINI-MIRANDA",
        "first_name": "ALEX",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "43934",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "76009",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-7802",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000039280",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.30950",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44351",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "20002",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME95555",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.30950",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "76009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "20002",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "43934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95555",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000039280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275224700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aagostinimiranda794465@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aagostinimiranda794465@direct.centracare.com",
            "address_1": "101 Caring Way",
            "city": "Redwood Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562832624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "AGOSTINI",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.