Individual provider Active NPI

Agnes Scoville, MD

  • Emergency Medicine Physician
  • South Miami, FL
National Provider Identifier
1538113790
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME165800 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(786) 662-4000
NPI assigned
May 20, 2006
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1538113790 MO
Emergency Medicine Physician 207P00000X A77262 CA
Emergency Medicine Physician 207P00000X ME165800 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

1825 Ponce de Leon Blvd # 646
Coral Gables, FL 33134-4418
Phone (323) 527-5537

Other names 1

  • Dr. Agnes M Stacia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240209003174 FL Practitioner - Emergency Medicine 5698701423 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians

Practice addresses (Care Compare)

14150 SW 136TH St
Miami, FL 33186-5506
Phone (786) 204-4600

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

3663 S Miami Ave
Mercy Hospital
Miami, FL 33133-4253
Phone (305) 854-4400

6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1538113790MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 3, 2025 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince Feb 22, 2025 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Jul 28, 2025 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine PastSince Aug 7, 2022 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Cowiche Creek Emergency Physicians Emergency Medicine Past Accepting new patients
Foothill Emergency Physicians Emergency Medicine Past Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine PastSince Nov 15, 2020 Accepting new patients
Melvin a. Ochs, M.D., Medica Corp Emergency Medicine Past Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1538113790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD # 646",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "323-527-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "1538113790",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A77262",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME165800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "STACIA",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.