Active NPI
Sunday Abiodun Agboola, M.D
- Hospitalist Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- Q7996
- Practice address
- 11801 South Fwy
Texas Health Hugely Hospital
Fort Worth, TX 76028 - Phone
- (817) 293-9110
- NPI assigned
- Aug 4, 2009
- Last updated
- Mar 9, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT195212 | PA | |
| Internal Medicine Physician | 207R00000X | MD446105 | PA | |
| Internal Medicine Physician | 207R00000X | Q7996 | TX | |
| Hospitalist Physician | 208M00000X | Q7996 | TX | Primary |
Addresses
Primary practice location
11801 South Fwy
Texas Health Hugely Hospital
Fort Worth, TX 76028
Mailing address
3451 River Park Dr
Fort Worth, TX 76116-9575
Other practice location 1
2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone (254) 526-7523
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sagboola788313@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446105 | PA | MD | Internal Medicine Physician |
| Q7996 | TX | MD | Hospitalist Physician |
| MT195212 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Scott and White Clinic | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Scott & White Memorial Hospital | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- sagbolla59065@direct-guthrie.org
- sagboola@direct.excelahealth.org
- sagboola245449@christushealth.direct-ci.net
- sagboola788313@direct.sw.org
Organizations & group practices 11
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 Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
dba Excela Health Cardiology
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
dba IHS Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- North Huntingdon, PA
- NPI 1699590786
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1669603031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 RIVER PARK DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761169575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 SOUTH FWY",
"address_2": "TEXAS HEALTH HUGELY HOSPITAL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-293-9110"
}
],
"practiceLocations": [
{
"address_1": "2201 Clear Creek Rd",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765494110",
"country_code": "US",
"telephone_number": "254-526-7523",
"fax_number": "254-724-8572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGBOOLA",
"first_name": "SUNDAY",
"middle_name": "ABIODUN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-04",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT195212",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD446105",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q7996",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "Q7996",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sagboola788313@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2201 Clear Creek Rd",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765494110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.