Evelyn Agu
Individual provider Active NPI Family Medicine Physician · Texarkana, AR
NPI 1972484897 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1972484897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P137524 (NY)
- Practice address
- 3417 U of a Way
Texarkana, AR 71854-1419 - Phone
- (903) 293-7079
- Fax
- (870) 779-6050
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3438 Bell Blvd
Suite 301
Bayside, NY 11361-1745
4246 Barnes Ave
Bronx, NY 10466-3129
6136 170TH St
Apt M4
Fresh Meadows, NY 11365-1953
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250922000688 | NY | Practitioner - Internal Medicine | 5395249304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peyman Younesi MD PLLC | Internal Medicine | Current |
Accepting new patients |
| My Medical PC | Family Medicine | Current |
Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125
1800 Waring Ave
Bronx, NY 10469
Phone (718) 379-4400
3900 Shore Pkwy
Brooklyn, NY 11235
Phone (718) 646-5700
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P137524 | NY | Yes |
Addresses
Primary practice location
3417 U of a Way
Texarkana, AR 71854-1419
Mailing address
1105 Valley Vista Dr
Irving, TX 75063-9395
Other practice location 1
612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 709-0940
Other providers in Texarkana, AR
- Folake Adekunle
- Rebekan Monserratt Adkins
- Gracie Mae Adkisson
- Advanced Portable X-Ray
- Advanced Portable X-Ray, LLC
- Ahm Action Home Health, LP
- Gregory Allen Aitchison
- Olakitan Tomi Akinjagunla
- Albertsons LLC
- Donterries L Alexander
All providers in Texarkana, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.