Active NPI
Kosisochukwu Nkenna Anago, M.D
- Hospitalist Physician
- Okeechobee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME137136
- Practice address
- 205 NE 2ND St
Okeechobee, FL 34972-2974 - Phone
- (561) 985-0433
- Fax
- (888) 508-5497
- NPI assigned
- Mar 31, 2015
- Last updated
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME137136 | FL | |
| Hospitalist Physician | 208M00000X | ME137136 | FL | Primary |
Addresses
Primary practice location
205 NE 2ND St
Okeechobee, FL 34972-2974
Mailing address
11924 Forest Hill Blvd # 10a-243
Wellington, FL 33414-6256
Phone (561) 693-5143
Other practice location 1
2815 S Seacrest Blvd
Florida Atlantic University Medicine at Bethesda Hospit
Boynton Beach, FL 33435-7934
Phone (561) 733-0740
Other practice location 2
845 Palm Beach Rd
South Bay, FL 33493-2037
Phone (561) 693-5143
Other practice location 3
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 287-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101899600 | Medicaid | FL | |
| 14290897 | Other | FL | CAQH |
| AHYOI | Other | FL | FLORIDA BLUE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Tufts University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Florida Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Absolute Healthcare Centers, LLC | Current | Accepting new patients | |
| Center for Advance Cardiovascular Medicine, PLLC | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
205 NE 2nd St
Okeechobee, FL 34972
Phone (561) 985-0433
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 286-5007
11924 Forest Hill Blvd
#10A243
Wellington, FL 33414
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kosisochukwu.anago.1@18813.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Hospitalist Physician
- Delray Beach, FL
- NPI 1013036219
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Urgent Care Clinic/Center
- Okeechobee, FL
- NPI 1225746340
-
- Cardiovascular Disease Physician
- Greenacres, FL
- NPI 1083908057
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1639564263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11924 FOREST HILL BLVD # 10A-243",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146256",
"telephone_number": "561-693-5143",
"fax_number": "888-726-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NE 2ND ST",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349722974",
"telephone_number": "561-985-0433",
"fax_number": "888-508-5497"
}
],
"practiceLocations": [
{
"address_1": "2815 S Seacrest Blvd",
"address_2": "Florida Atlantic University Medicine at Bethesda Hospit",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334357934",
"country_code": "US",
"telephone_number": "561-733-0740",
"fax_number": "561-733-0741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 Palm Beach Rd",
"address_purpose": "LOCATION",
"city": "South Bay",
"state": "FL",
"postal_code": "334932037",
"country_code": "US",
"telephone_number": "561-693-5143",
"fax_number": "866-873-8706",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 SE Hospital Ave",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "34994",
"country_code": "US",
"telephone_number": "772-287-5200",
"fax_number": "772-288-5834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANAGO",
"first_name": "KOSISOCHUKWU",
"middle_name": "NKENNA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME137136",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME137136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101899600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14290897",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "AHYOI",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.