Individual provider Active NPI

Anthony J Agostini, DO

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1245234293
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M1449 Issued in TX
Practice address
6200 I-40 W
Amarillo, TX 79106-2512
Phone
(806) 354-9764
Fax
(806) 355-2868
NPI assigned
Jun 8, 2005
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M1449 TX Primary

Addresses

Primary practice location

6200 I-40 W
Amarillo, TX 79106-2512

Mailing address

6200 I-40 W
Amarillo, TX 79106-2512
Phone (806) 354-9764

Other identifiers 1

IdentifierTypeStateIssuer
176313801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050923000475 TX Practitioner - Cardiovascular Disease (Cardiology) 5395630602 Reassigns benefits to 3 organizations
I20231017003499 NM Practitioner - Cardiovascular Disease (Cardiology) 5395630602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Lake Erie College of Osteopathic Medicine, Erie, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians
Cardiology Center of AmarilloGroup PAC ID 9234036013, 14 clinicians

Practice addresses (Care Compare)

1000 Craig Dr
Amarillo, TX 79106-4015
Phone (806) 351-7045

1501 S Coulter St
Amarillo, TX 79106-1770

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-6036

401 Botulph LN
Santa Fe, NM 87505-6912
Phone (505) 983-8387

6200 W Interstate 40
Amarillo, TX 79106-2512
Phone (806) 354-9764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Pacemaker insertion or repair1-10
Varicose vein removal30
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Texas Healthcare System Inc CurrentSince Sep 1, 2018 Accepting new patients
Cardiology Center of Amarillo Cardiovascular Disease CurrentSince May 1, 2007 Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 1, 2013 Accepting new patients
Bsa Hospital LLC Current Accepting new patients
Bsa Hospital LLC CurrentSince Jan 1, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Regional Health Services Inc Past Accepting new patients
Diagnostic Clinic of Longview PA Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Cca ASC, LLC Past Accepting new patients

Locations

401 Botulph Ln
Santa Fe, NM 87505
Phone (505) 500-8356

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

6200 W Interstate 40
Amarillo, TX 79106
Phone (806) 354-9764

6200 W Interstate 40
Ste 200
Amarillo, TX 79106
Phone (806) 354-9764

6707 Wolflin Ave
Ste 400
Amarillo, TX 79106
Phone (806) 354-9764

Interoperability endpoints

  • Direct secure messaging: anthony.agostini.p41@direct.ccallp.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1245234293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTINI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176313801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.