Individual provider Active NPI

Johnson Agu, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1912957879
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9007 Issued in TX
Practice address
7737 Beechnut St
Suite 202
Houston, TX 77074
Phone
(713) 773-2255
Fax
(713) 773-2277
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9007 TX Primary

Addresses

Primary practice location

7737 Beechnut St
Suite 202
Houston, TX 77074

Mailing address

7737 Beechnut St
Suite 202
Houston, TX 77074
Phone (713) 773-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060228000132 TX Practitioner - Internal Medicine 4880600915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7737 Beechnut St
Suite 202
Houston, TX 77074-3109
Phone (713) 773-2255

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Kindred Hospital Sugar Land Inpatient rehabilitation facility, Sugar Land, TX, CCN 45TA80
  • Kindred Hospital Sugar Land Long-term care hospital, Sugar Land, TX, CCN 452080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9007TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Internal Medicine Specialists Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

7500 Beechnut St
Ste 100
Houston, TX 77074
Phone (713) 773-2255

7737 Beechnut St
Ste 202
Houston, TX 77074
Phone (713) 773-2255

Interoperability endpoints

  • Direct secure messaging: jagu65199@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1912957879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 BEECHNUT ST",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-773-2255",
            "fax_number": "713-773-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 BEECHNUT ST",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-773-2255",
            "fax_number": "713-773-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGU",
        "first_name": "JOHNSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.