Active NPI
CHF Care PLLC
- Advanced Heart Failure and Transplant Cardiology Physician
- Lutz, FL
National Provider Identifier
1861028409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- Legal business name
- CHF CARE PLLC
- Practice address
- 4211 Van Dyke Rd
Lutz, FL 33558-8005 - Phone
- (813) 443-7000
- NPI assigned
- Mar 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Augustine E Agocha, MD
- Title
- Ceo
- Phone
- (813) 220-2122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | Primary |
Addresses
Primary practice location
4211 Van Dyke Rd
Lutz, FL 33558-8005
Mailing address
3853 Northdale Blvd Ste 367
Tampa, FL 33624-1861
Other names 1
- CHFCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14005 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 220-2122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1003863135
-
- Adult Health Nurse Practitioner
- Lutz, FL
- NPI 1598004715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584921600000",
"number": "1861028409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3853 NORTHDALE BLVD STE 367",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "813-443-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHF CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A",
"authorized_official_last_name": "AGOCHA",
"authorized_official_first_name": "AUGUSTINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-220-2122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHFCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHFCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.