Mark Agrama, MD
Individual provider Active NPI Otolaryngology Physician · Jupiter, FL
NPI 1497781785 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1497781785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- ME87650 (FL)
- Practice address
- 550 Heritage Dr Ste 201
Jupiter, FL 33458-3029 - Phone
- (561) 624-5311
- Fax
- (561) 625-4624
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Miami, LM Miller School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida ENT Associates Inc
Practice addresses (Care Compare)
550 Heritage Dr
Suite 201
Jupiter, FL 33458-3030
Phone (561) 624-5311
Hospital & facility affiliations
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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 |
|---|---|---|---|---|
| I20081020000189 | FL | Practitioner - Otolaryngology |
9436044351 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Otolaryngology | Current |
Accepting new patients |
| Florida ENT Associates, Inc. | Otolaryngology | Current |
Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Locations
500 University Blvd
Ste 208
Jupiter, FL 33458
Phone (561) 624-5311
550 Heritage Dr
Ste 201
Jupiter, FL 33458
Phone (561) 624-5311
15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016
8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537
18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505
Interoperability endpoints
- magrama19211@jupitermedicalcenter.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | ME87650 | FL | |
| Otolaryngology Physician | 207Y00000X | ME87650 | FL | Yes |
Addresses
Primary practice location
550 Heritage Dr Ste 201
Jupiter, FL 33458-3029
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000737000 | Medicaid | FL | |
| 1169358 | Medicaid | LA | |
| 07033291 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | markagrama@sfa.allscriptsdirect.net | South Florida ENT Associates, Inc. |
Other providers in Jupiter, FL
- Advanced Vision Care of Jupiter Inc
- Advinity LLC
- Aegean Laboratories LLC
- Rahul Aggarwal
- Paige Agnelli
- Karina Aguirre
- Ashik Nisar Ahmad
- Kai N Aird
- Chrisner Airey
- Glen Robert Aitken Jr.
All providers in Jupiter, FL · Otolaryngology 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 Sep 20, 2022. 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.