NPIMap

Individual provider Active NPI

Peter N Agomuo, M.D

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1245236413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K9206 Issued in TX
Practice address
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone
(409) 466-3626
Fax
(337) 989-6732
NPI assigned
Jun 22, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K9206 TX Primary

Addresses

Primary practice location

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

Mailing address

PO Box 12553
Beaumont, TX 77726-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000241 TX Practitioner - Diagnostic Radiology 5597862664 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merit Radiology PLLCGroup PAC ID 3274970256, 19 clinicians
Pecos County Memorial Hospital DistrictGroup PAC ID 3173977477, shared by 7 NPIs, 32 clinicians
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians
Diagnostic Imaging Associates PAGroup PAC ID 5799765822, 4 clinicians

Practice addresses (Care Compare)

101 Circle Dr
Hillsboro, TX 76645-2670
Phone (479) 242-1044

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 795-4884

506 E San Antonio
Victoria, TX 77901
Phone (361) 575-0744

540 W 15TH St
Hereford Regional Medical Center
Hereford, TX 79045-2820
Phone (806) 364-4377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos County Memorial Hospital District Current Accepting new patients
Diagnostic Imaging Associates PA Diagnostic Radiology CurrentSince Oct 12, 2020 Accepting new patients
Pecos County Memorial Hospital District CurrentSince Aug 16, 2025 Accepting new patients
City Hospital Physician Group Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Deaf Smith County Hospital District Current Accepting new patients
Deaf Smith County Hospital District CurrentSince Oct 30, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Mid South Radiology Partners, LLC Diagnostic Radiology Past Accepting new patients
US Radiology Partners of Louisiana, Inc. Diagnostic Radiology Past Accepting new patients
Danville Radiologists Inc Diagnostic Radiology Past Accepting new patients
Portland Imaging Center, LTD Past Accepting new patients
Beaumont Radiology Group, LLP Past Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100

1607 N Main St
Victoria, TX 77901
Phone (361) 576-2116

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245236413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12553",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "409-466-3626",
            "fax_number": "337-989-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOMUO",
        "first_name": "PETER",
        "middle_name": "N",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K9206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.