Active NPI
Syed A Agha, MD
- Interventional Cardiology Physician
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 55598
- Practice address
- 2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862 - Phone
- (423) 919-1577
- NPI assigned
- Jul 8, 2005
- Last updated
- Oct 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD70050075 | WA | |
| Interventional Cardiology Physician | 207RI0011X | N2899 | TX | |
| Interventional Cardiology Physician | 207RI0011X | 55598 | TN | Primary |
| Interventional Cardiology Physician | 207RI0011X | 59357 | GA |
Addresses
Primary practice location
2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862
Mailing address
2292 Chambliss Ave NW Ste F
Cleveland, TN 37311-3862
Phone (423) 919-1577
Other practice location 1
2101 NE 139th St Ste 360
Vancouver, WA 98686-2313
Phone (360) 487-1965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091420207 | Medicaid | GA |
Other names 1
- Abbas Agha
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | syed.agha.1@1525.direct.athenahealth.com | ||
| Direct Messaging Address | syed.agha.1@1525.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, WA, OR, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1015 Nw22Nd Ave
Suite 34
Portland, OR 97210-3025
Phone (503) 413-6376
1040 NW 22ND Ave
Suite 630
Portland, OR 97210-3041
Phone (503) 413-7162
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
19250 SW 65TH Ave
Suite 265
Tualatin, OR 97062-7747
Phone (503) 413-6862
19300 SW 65TH Ave
Meridian Park Hosp
Portland, OR 97062-7706
Phone (503) 692-1212
2101 NE 139TH St
Suite 360
Vancouver, WA 98686-2313
Phone (360) 487-1965
2292 Chambliss Ave NW
Suite F
Cleveland, TN 37311-3862
Phone (423) 919-1577
400 S Santa Fe Ave
Salina, KS 67401-4144
501 S Santa Fe Ave
Salina, KS 67401-4106
501 S Santa Fe Ave
Salina, KS 67401-4189
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 16 |
| Varicose vein removal | 27 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012025750 | MO | MD | Family Medicine Physician |
| 59357 | GA | MD | Interventional Cardiology Physician |
| 55598 | TN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Abbas Agha MD PLLC | Interventional Cardiology | Current | Accepting new patients |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients | |
| Dalton Cardiology, P.C. | Past | Accepting new patients | |
| Legacy Clinics LLC | Past | Accepting new patients | |
| Washita Emergency Physicians LLC | Past | Accepting new patients |
Locations
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1436 Broadrick Dr
#B
Dalton, GA 30720
Phone (706) 226-3434
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
2205 McCallie Ave
Ste 501C
Chattanooga, TN 37404
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
2292 Chambliss Ave NW
Ste F
Cleveland, TN 37311
Phone (423) 641-4261
2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEHJCD/Endpoint/DEHJCD
Organizations & group practices 20
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.
-
- Interventional Cardiology Physician
- Cleveland, TN
- NPI 1093322141
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
dba Physician Practice Management
- Surgery Physician
- Salina, KS
- NPI 1619952785
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Legacy Mount Hood Providers
- Clinic/Center
- Gresham, OR
- NPI 1386919132
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
dba Legacy Emanuel Hospital Adult Psychiatric Unit
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1003822487
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1164420741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 CHAMBLISS AVE NW STE F",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113862",
"telephone_number": "423-919-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2292 CHAMBLISS AVE NW STE F",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113862",
"telephone_number": "423-919-1577"
}
],
"practiceLocations": [
{
"address_1": "2101 NE 139th St Ste 360",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862313",
"country_code": "US",
"telephone_number": "360-487-1965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGHA",
"first_name": "SYED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD70050075",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "N2899",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "55598",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "59357",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091420207",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syed.agha.1@1525.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1436 Broadrick Dr Ste B",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307203009",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syed.agha.1@1525.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1436 Broadrick Dr Ste B",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307203009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ABBAS",
"last_name": "AGHA",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.