Active NPI
Andrew Scott Bagg, MD
- Allergy & Immunology Physician
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME95484
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11866028 | Other | FL | CAQH |
| 1962588053 | Other | FL | NPI |
| 00386670 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002
Hospital & facility affiliations
- Adventhealth Orlando
- Orlando Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95484 | FL | MD | Allergy & Immunology Physician |
| ME 95484 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Asthma Specialists, PA | Current | 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
- bagg.andrew.019.0090329@aass.meditab.direct-ci.com
- bagg.andrew.020.0090329@aass.meditab.direct-ci.com
- bagg.andrew.022.0090329@aass.meditab.direct-ci.com
- bagg.andrew.018.0090329@aass.meditab.direct-ci.com
- 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.
-
- Allergy Physician
- Altamonte Springs, FL
- NPI 1174689574
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.