Katrina Abadilla Agito, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Winter Garden, FL
NPI 1306157474 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1306157474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- ME120842 (FL)
- Practice address
- 2000 Fowler Grove Blvd FL 3
Winter Garden, FL 34787-5050 - Phone
- (407) 614-0616
- Fax
- (407) 614-0617
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Waterman
- Orlando Health South Lake Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629001370 | FL | Practitioner - Endocrinology |
9638481005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120842 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2000 Fowler Grove Blvd
Fl 3
Winter Garden, FL 34787
Phone (407) 521-3600
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME120842 | FL | Yes |
Addresses
Primary practice location
2000 Fowler Grove Blvd FL 3
Winter Garden, FL 34787-5050
Mailing address
2000 Fowler Grove Blvd FL 3
Winter Garden, FL 34787-5050
Phone (407) 614-0616
Other providers in Winter Garden, FL
- Adventist Health System/Sunbelt, Inc.
- Adventist Health System/Sunbelt, Inc.
- Advn Dental Partners PA
- Afid, PLLC
- Age Advantage Home Care Services
- Nikhil Agrawal
- Geisol Guadalupe Ahedo
- Seevin Ahmad
- Ajc Software Inc
- Akram Health PA
All providers in Winter Garden, FL · Endocrinology, Diabetes & Metabolism Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.