Active NPI
Mouchammed Agko, MD
- Plastic Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A116784
- Practice address
- 1120 15TH St
Augusta, GA 30912-2570 - Phone
- (706) 724-6100
- Fax
- (706) 724-1600
- NPI assigned
- Jul 17, 2008
- Last updated
- Aug 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 80567 | GA | |
| Plastic Surgery Physician | 208200000X | A116784 | CA | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-2570
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Other practice location 1
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
1500 E Duarte Rd
Duarte, CA 91010-3012
1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 50 |
| Melanoma (skin cancer) excision | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116784 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Center, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| City of Hope Medical Foundation | Plastic Surgery | Current | Accepting new patients |
| Augusta Health Care, Inc | Past | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
44151 15th St W
Lancaster, CA 93534
Phone (661) 743-0001
1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#5040
Augusta, GA 30912
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
Interoperability endpoints
- direct@cityofhope.direct-ci.com
- magko116101@cityofhope.direct-ci.com
Organizations & group practices 5
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.
-
dba City of Hope Duarte
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Plastic Surgery
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Psychiatric Hospital Unit
- Fishersville, VA
- NPI 1295708287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1285898247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309122570",
"telephone_number": "706-724-6100",
"fax_number": "706-724-1600"
}
],
"practiceLocations": [
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGKO",
"first_name": "MOUCHAMMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-17",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "80567",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A116784",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.