Individual provider Active NPI

Andrew Scott Bagg, MD

  • Allergy & Immunology Physician
  • Altamonte Springs, FL
National Provider Identifier
1962588053
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME95484 Issued in FL
Practice address
661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105
Phone
(407) 339-3002
Fax
(407) 260-5039
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 95484 FL
Allergy & Immunology Physician 207K00000X ME95484 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5105
Phone (407) 339-3002

Other identifiers 3

IdentifierTypeStateIssuer
11866028OtherFLCAQH
1962588053OtherFLNPI
00386670MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100913001010 FL Practitioner - Allergy/Immunology 4486779584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma Specialists PAGroup PAC ID 9537121645, 4 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95484FLMDAllergy & Immunology Physician
ME 95484FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Specialists, PA CurrentSince Jul 4, 2010 Accepting new patients

Locations

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701
Phone (407) 339-3002

3111 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 243-6767

1142 Kelton Ave
Ocoee, FL 34761
Phone (407) 219-3620

7780 Lake Underhill Rd
Ste 110
Orlando, FL 32822

7758 Wallace Rd
Ste J
Orlando, FL 32819
Phone (407) 351-4328

Interoperability endpoints

  • Direct secure messaging: bagg.andrew.019.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: bagg.andrew.020.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: bagg.andrew.022.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: bagg.andrew.018.0090329@aass.meditab.direct-ci.com
  • Direct secure messaging: bagg.andrew.021.0090329@aass.meditab.direct-ci.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.

Hospital & facility affiliations 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1962588053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-339-3002",
            "fax_number": "407-260-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGG",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 95484",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME95484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11866028",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962588053",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00386670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.