Organization Active NPI

Agana Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1396771879
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AGANA ASSOCIATES PA
Practice address
13231 Champion Forest Dr Ste 101
Houston, TX 77069-2646
Phone
(281) 419-3366
Fax
(281) 419-2233
NPI assigned
Jun 24, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Benjamin T Agana Jr., MDNPI 1063455111
Title
Physician/Owner
Phone
(281) 419-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X J4680 TX
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

13231 Champion Forest Dr Ste 101
Houston, TX 77069-2646

Mailing address

PO Box 690687
Houston, TX 77269-0687
Phone (281) 419-3366

Other identifiers 3

IdentifierTypeStateIssuer
096845503MedicaidTX
250012118OtherTXMEDICARE RAILROAD
8A2610OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000483 TX Part B Supplier - Clinic/Group Practice 6507051000 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13231 Champion Forest Dr
Ste 101
Houston, TX 77069
Phone (281) 419-3366

9200 Pinecroft Dr
Ste 360
Shenandoah, TX 77380
Phone (281) 419-3366

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1396771879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690687",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772690687",
            "telephone_number": "281-419-3366",
            "fax_number": "281-580-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13231 CHAMPION FOREST DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692646",
            "telephone_number": "281-419-3366",
            "fax_number": "281-419-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGANA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "AGANA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-419-3366",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "J4680",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096845503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250012118",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A2610",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.