Individual provider Active NPI

Kosisochukwu Nkenna Anago, M.D

  • Hospitalist Physician
  • Okeechobee, FL
National Provider Identifier
1639564263
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME137136 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101899600MedicaidFL
14290897OtherFLCAQH
AHYOIOtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914002529 FL Practitioner - HospitalistPractitioner - Internal Medicine 4880985720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc Hospitalist CurrentSince Oct 1, 2019 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Absolute Healthcare Centers, LLC CurrentSince Nov 13, 2022 Accepting new patients
Center for Advance Cardiovascular Medicine, PLLC PastSince Dec 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.