Individual provider Active NPI

Agustin M Florian, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Norwood, MA
National Provider Identifier
1841385317
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
36437 Issued in MA
Practice address
100 Morse St
Norwood, MA 02062-4679
Phone
(781) 352-3153
Fax
(781) 352-3154
NPI assigned
Oct 3, 2006
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 36437 MA Primary

Addresses

Primary practice location

100 Morse St
Norwood, MA 02062-4679

Mailing address

100 Morse St
Norwood, MA 02062-4679
Phone (781) 352-3153

Other identifiers 8

IdentifierTypeStateIssuer
C18088OtherMABC/BS
26001OtherMAHARVARD PILGRIM HEALTH CA
0110078MedicaidMA
0013607OtherMANEIGHBERHOOD HEALTH PLAN
700405OtherMATUFTS HEALTH PLAN
441333831OtherRR MEDICARE
0024458OtherMAAETNA HEALTH PLAN
18-02000OtherMAUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050923000126 MA Practitioner - Thoracic Surgery 2264466705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Health PCGroup PAC ID 7618291998, 2 clinicians

Practice addresses (Care Compare)

275 Hancock St
Suite 203
Quincy, MA 02171-2249
Phone (617) 934-2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Health, P.C. CurrentSince Aug 1, 2016 Accepting new patients
Encompass Care Company, Inc. PastSince Jul 1, 2011 Accepting new patients
Timothy M Anderson MD PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Agustin M Florian, MD, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jun 1, 1980 Accepting new patients

Locations

162 Main St
Brockton, MA 02301
Phone (617) 934-2020

275 Hancock St
Ste 203
Quincy, MA 02171
Phone (617) 233-2669

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1841385317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MORSE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624679",
            "telephone_number": "781-352-3153",
            "fax_number": "781-352-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORSE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624679",
            "telephone_number": "781-352-3153",
            "fax_number": "781-352-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIAN",
        "first_name": "AGUSTIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "36437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "C18088",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "26001",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110078",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBERHOOD HEALTH PLAN",
            "identifier": "0013607",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "700405",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "441333831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "0024458",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "18-02000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.