Individual provider Active NPI

Mehmet Cemal Agabigum, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Flint, MI
National Provider Identifier
1740265362
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
4301040397 Issued in MI
Practice address
5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445
Phone
(810) 732-4250
Fax
(810) 732-0444
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 4301040397 MI Primary

Addresses

Primary practice location

5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445

Mailing address

5040 Villa Linde Pkwy
Ste a
Flint, MI 48532-3445
Phone (810) 732-4250

Other identifiers 3

IdentifierTypeStateIssuer
2115367MedicaidMI
0402500732OtherMIBLUE CROSS BLUE SHIELD
0400732OtherMIHEALTH PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110923000051 MI Practitioner - Otolaryngology 5799828364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301040397MIMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mehmet C Agabigum MD PC CurrentSince Aug 1, 2011 Accepting new patients

Locations

5040 Villa Linde Pkwy
Ste A
Flint, MI 48532
Phone (810) 720-9290

Interoperability endpoints

  • Direct secure messaging: magabigum1159186@direct.hfhs.org
  • Direct secure messaging: mehmet.agabigum@direct.secureehrthomas.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1740265362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-732-4250",
            "fax_number": "810-732-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-732-4250",
            "fax_number": "810-732-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGABIGUM",
        "first_name": "MEHMET",
        "middle_name": "CEMAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-01-11",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "4301040397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115367",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0402500732",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0400732",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.