Johanna H Agustin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04-30666 Issued in KS

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1197

Phone

(620) 694-4194

Fax

(620) 694-2179

NPI assigned

Jan 6, 2006

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS, TX2 enrollments

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 2

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 IncGroup PAC ID 0648181198, 145 clinicians

Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jagustin416324@direct.saint-lukes.org
• Direct secure messaging: johannaagustin@hcpa.allscriptsdirect.net

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.

• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  Medicare reassignment Care Compare group NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment Care Compare group NPD
• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474
  Medicare reassignment NPD
• Premier OB-GYN of Texas LLC

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1225807530
  Medicare reassignment NPD
• Synergy Healthcare Associates, PLLC

  • Gynecology Physician
  • San Antonio, TX
  • NPI 1356584544

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Heartland Radiation Oncology

  • Radiation Oncology Physician
  • Hutchinson, KS
  • NPI 1275512535
  NPD
• Hutchinson Clinic, P.a., Inc.

  dba Hutchinson Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
  • NPI 1386619682
  NPD
• Hutchinson Clinic, P.a., Inc.

  • Clinical Medical Laboratory
  • Hutchinson, KS
  • NPI 1962477356
  NPD
• Hutchinson Clinic, PA, Inc.

  dba Hutchinson Clinic Diabetes Prevention Program

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD
• Hutchinson Regional Medical Center, Inc.

  dba Hutchinson Regional Physician Network

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525

  Obstetrics & Gynecology

  NPD
• Reno Pathology Associates, LLC

  • Clinical Pathology Physician
  • Hutchinson, KS
  • NPI 1285025098
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Weight Management

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1528046869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500",
            "fax_number": "620-694-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-694-4194",
            "fax_number": "620-694-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 E 29th St N",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262182",
            "country_code": "US",
            "telephone_number": "316-685-1277",
            "fax_number": "316-685-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "JOHANNA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-30666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johannaagustin@hcpa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Hutchinson Clinic, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hutchinson",
            "address_1": "2101 N Waldron St",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• ABA Golden Steps KS LLC (Golden Steps ABA)
• Khawla Abusamra, M.D
• Advanced Medical Imaging - Hutchinson KS LLC
• Advanced PT LLC (Advanced PT Hutchinson)
• Advanced Thermography Specialists
• Agha Jamil Ahmed, M.D.
• Margaret E Akins, LSCSW
• Moh'D Al-Halawani, M.D.
• Bruce W Albright, DDS PA
• Jerold D Albright, MD

• Obstetrics & Gynecology Physician in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.