Individual provider Active NPI

Francis O. Agbonkpolo, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1467555458
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193784 Issued in NY
Practice address
140 Stevens Ave
Mount Vernon, NY 10550-2515
Phone
(914) 530-2323
Fax
(914) 530-2320
NPI assigned
Sep 6, 2006
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 193784 NY Primary

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

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080104000410 NY Practitioner - AnesthesiologyPractitioner - Internal Medicine 3779663695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Oct 17, 2025 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Apr 25, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 25, 2024 Accepting new patients
Obosa Medical Care, P.L.L.C. PastSince Jul 23, 2012 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine 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 H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: fagbonkp@montefioredirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1467555458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GOLDEN RD",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109013220",
            "telephone_number": "914-530-2323",
            "fax_number": "914-530-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502515",
            "telephone_number": "914-530-2323",
            "fax_number": "914-530-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBONKPOLO",
        "first_name": "FRANCIS",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.