Elliot David Agin, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25364 Issued in CT

Practice address

849 Boston Post Rd
200
Milford, CT 06460-3537

Phone

(203) 874-1512

Fax

(203) 874-3877

NPI assigned

Jun 16, 2006

Last updated

Dec 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

83.36

Promoting interoperability

100

Improvement activities

40

Cost

75.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elliot.agin@xdr.hhchealthdirect.org

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.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Medicare reassignment NPD
• Bridgeport Hospital

  dba Bridgeport Hospital Milford Campus OP

  • General Acute Care Hospital
  • Milford, CT
  • NPI 1891376810
  NPD
• Cardiovascular Physicians & Consultants, LLC

  • Cardiovascular Disease Physician
  • Milford, CT
  • NPI 1104868074
  NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1790729093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "200",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-874-1512",
            "fax_number": "203-874-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "200",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-874-1512",
            "fax_number": "203-874-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "ELLIOT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "25364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Back& Neck Center
• Advanced Interventional Pain Management, P.C.
• Advanced Mobile Imaging, LLC
• Advanced Mobile Imaging, LLC
• Advanced Telemedicine LLC
• Moin Ahmed, D.D.S.
• Naadia Soraya Ahmed, DMD
• Kiersten Aichinger
• Alan J Malitz MD PC
• Alison Albino

• Cardiovascular Disease Physician in Milford, CT
• Providers in Milford, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.

Verify at the official NPI Registry.