Jacob K Agamasu, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME85101 Issued in FL

Practice address

731 Stirling Center PL Unit 1911
Lake Mary, FL 32746-5209

Phone

(407) 804-9616

Fax

(407) 804-8331

NPI assigned

May 10, 2006

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Cardiovascular Disease (Cardiology)

Education

George Washington University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Jacob K Agamasu MD PA

  • Cardiovascular Disease Physician
  • Lake Mary, FL
  • NPI 1629151683
  Medicare reassignment Authorized official
• Jacob K Agamasu MD PA

  • Cardiovascular Disease Physician
  • Deltona, FL
  • NPI 1538954417
  NPD (past) Authorized official
• Wellnessclinic on Wheels LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Deland, FL
  • NPI 1275425803
  NPD
• Cardiology Care Center PA

  • Cardiovascular Disease Physician
  • Lake Mary, FL
  • NPI 1992754378
  NPD (past)
• Eze D. Uche, M.D., PA

  • Specialist
  • Leesburg, FL
  • NPI 1255527719
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Florida Regional Hospital, Inc

  dba HCA Florida Lake Monroe Hospital

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba AdventHealth Fish Memorial

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1194774604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1911",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-804-9616",
            "fax_number": "407-804-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1911",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-804-9616",
            "fax_number": "407-804-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAMASU",
        "first_name": "JACOB",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME85101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "13045",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adventist Health System/Sunbelt, Inc (AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Lake Mary)
• Adventist Health System/Sunbelt, Inc. (Advent Health Total Health Management - Lake Mary)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care Kids Lake Mary)
• Affordable Dentures & Implants - Lake Mary II, P.a.
• Affordable Dentures & Implants - Lake Mary, P.a.
• Sumita Aggarwal, MD
• Ayesha R Ahmar, MD
• Abdul Quyyum Ahmed, MD
• Rafat Ahmed, ARNP
• Kelly Ann Aicher, BCBA

• Cardiovascular Disease Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.