Active NPI
Kristopher Aghemo, DO
- Diagnostic Radiology Physician
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS19745
- Practice address
- 713 E Anderson St
Weatherford, TX 76086-5705 - Phone
- (954) 547-8055
- NPI assigned
- Apr 27, 2018
- Last updated
- Jan 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS19745 | FL | Primary |
Addresses
Primary practice location
713 E Anderson St
Weatherford, TX 76086-5705
Mailing address
713 E Anderson St
Weatherford, TX 76086-5705
Phone (954) 547-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 N Dale Mabry Hwy 150
Simonmed Imaging Carrollwood
Tampa, FL 33618-4469
Phone (813) 964-8439
3015 N Rocky Point Dr E Unit
Tampa, FL 33607-6094
Phone (480) 306-6949
4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19745 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Baptist Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
15810 S 45th St
Ste 110
Phoenix, AZ 85048
Phone (480) 743-6161
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010
10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722
265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
FL
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba Atrium Health Wake Forest Baptist Imaging
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1972763357
Diagnostic Radiology
-
dba Simonmed Imaging Orange City
- Diagnostic Radiology Physician
- Orange City, FL
- NPI 1821768599
-
dba Atrium Health Wake Forest Baptist Imaging - Kernersville
- Clinic/Center
- Kernersville, NC
- NPI 1700490232
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1972091742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 E ANDERSON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865705",
"telephone_number": "954-547-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E ANDERSON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865705",
"telephone_number": "954-547-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGHEMO",
"first_name": "KRISTOPHER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS19745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
- Advanced Apnea Associates, LLC
- Advanced Neurophysiology Associates PC
- Advanced Podiatry Associates, PLLC
- Aeg 6 TX Professional, PLLC
- Affordable Dentures & Implants - Texas VII, PLLC (Affordable Dentures & Implants - Weatherford)
- Oscar Aguado, MSAT STUDENT
- Suzanna Joy Aguillon, PT, DPT
- Ambreen Iqbal Ahmed, DO
- Jamie Ahrlett, RN
- AIDS Resources of Rural Texas (Arrt)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.