Cesar Ocampo Agtarap, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31497 Issued in KY

Practice address

1550 Highway 15 S
Suite 80
Jackson, KY 41339-7247

Phone

(606) 693-0343

Fax

(606) 693-0322

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Clinic of Jackson, PLLC

  • Specialist
  • Jackson, KY
  • NPI 1306047105

  KY

  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD (past)
• Southern Medical Partners, LLC

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1538109962
  NPD (past)

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cesara@mcoj.curemd.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2017.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1285635698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 15 S",
            "address_2": "SUITE 80",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413397247",
            "telephone_number": "606-693-0343",
            "fax_number": "606-693-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 15 S",
            "address_2": "SUITE 80",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413397247",
            "telephone_number": "606-693-0343",
            "fax_number": "606-693-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGTARAP",
        "first_name": "CESAR",
        "middle_name": "OCAMPO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306047105",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6431-4974",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Elizabeth Abadilla
• Melecio G Abordo Jr., M.D.
• Marcia Adams
• Courtney Brooke Addison, APRN
• Advanced Surgical Specialists of Ky, PLLC
• Sreenivasa Reddy Alla, M.D.
• American Homepatient, Inc.
• Appalachian Post Acute LLC
• Appalucky Mission of Integrated Health Inc
• Arcadia Home Oxygen & Medical Equipment, Inc.

• All providers in Jackson, KY
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.