Francis O. Agbonkpolo, M.D.
Individual provider Active NPI Internal Medicine Physician · Mount Vernon, NY
NPI 1467555458 · NPPES record last updated Apr 12, 2013
Key facts
- NPI
- 1467555458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 193784 (NY)
- Practice address
- 140 Stevens Ave
Mount Vernon, NY 10550-2515 - Phone
- (914) 530-2323
- Fax
- (914) 530-2320
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
- Montefiore Mount Vernon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20080104000410 | NY | Practitioner - Anesthesiology |
3779663695 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Mount Vernon Hospital | Current |
Accepting new patients | |
| Montefiore Medical Center | Internal Medicine | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Physician Affiliate Group of New York PC | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Obosa Medical Care, P.L.L.C. | Past |
Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
3424 Kossuth Ave
Bronx, NY 10467
Phone (718) 519-3972
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
175 Memorial Hwy
Ste 3-1
New Rochelle, NY 10801
Phone (914) 235-2387
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- fagbonkp@montefioredirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 193784 | NY | Yes |
Addresses
Primary practice location
140 Stevens Ave
Mount Vernon, NY 10550-2515
Mailing address
11 Golden Rd
Montebello, NY 10901-3220
Phone (914) 530-2323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193784 | Other | NY | NY STATE LICENSE |
Other providers in Mount Vernon, NY
- Alice N Adom
- Christopher Obhokhan Adubor
- Advanced Value Care, LLC
- Affinity Rehabilitation, LLP
- Munazza Afzal
- Guirlaine Lenore Agnant
- Ana Aguilar
- Gifty Agyemang
- Victoria Agyemang
- Fosua Agyenim Boateng
All providers in Mount Vernon, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2013. 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.