Johanna H Agustin, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Hutchinson, KS
NPI 1528046869 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1528046869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 04-30666 (KS)
- Practice address
- 2101 N Waldron St
Hutchinson, KS 67502-1197 - Phone
- (620) 694-4194
- Fax
- (620) 694-2179
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hutchinson Regional Medical Center Inc
Obhg Texas Holdings PA
Practice addresses (Care Compare)
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Phone (620) 665-2000
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (864) 908-3530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, TX
- 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 |
|---|---|---|---|---|
| I20040914000981 | KS | Practitioner - Obstetrics/Gynecology | 5092782516 | Reassigns benefits to 2 organizations |
| I20220818003649 | TX | Practitioner - Obstetrics/Gynecology | 5092782516 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30666 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healthcare Associates, PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Hutchinson Clinic, P.a., Inc. | Current |
Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, PA, Inc. | Current |
Accepting new patients | |
| Heartland Radiation Oncology | Current | Accepting new patients | |
| Premier OB-GYN of Texas LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Reno Pathology Associates, LLC | Current | Accepting new patients | |
| VHS San Antonio Partners LLC | Past | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients | |
| Via Christi Regional Medical Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients | |
| Northeast Pediatric Associates PA | Past |
Accepting new patients | |
| Via Christi Regional Medical Center | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229
430 W Sunset Rd
Ste 202
San Antonio, TX 78209
Phone (210) 581-8694
14100 San Pedro Ave
Ste 200
San Antonio, TX 78232
4458 Medical Dr
Ste 405
San Antonio, TX 78229
Phone (210) 314-1718
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
4458 Medical Dr
Ste 650
San Antonio, TX 78229
18772 Forty Six Pkwy
Bldg 5
Spring Branch, TX 78070
Phone (210) 692-3636
Interoperability endpoints
- jagustin416324@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-30666 | KS | Yes |
Addresses
Primary practice location
2101 N Waldron St
Hutchinson, KS 67502-1197
Mailing address
2101 N Waldron St
Hutchinson, KS 67502-1197
Phone (620) 669-2500
Other practice location 1
9300 E 29th St N
Suite 201
Wichita, KS 67226-2182
Phone (316) 685-1277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200263990C | Medicaid | KS | |
| 200263990P | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | johannaagustin@hcpa.allscriptsdirect.net | Direct |
Other providers in Hutchinson, KS
- ABA Golden Steps KS LLC
- Khawla Abusamra
- Advanced Medical Imaging - Hutchinson KS LLC
- Advanced PT LLC
- Advanced Thermography Specialists
- Agha Jamil Ahmed
- Margaret E Akins
- Moh'D Al-Halawani
- Bruce W Albright
- Jerold D Albright
All providers in Hutchinson, KS · Obstetrics & Gynecology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. 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.