Individual provider Active NPI

Michael Agugo

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1982400065
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R166429 Issued in MD
Practice address
7 Cedarhouse CT
Rosedale, MD 21237-3503
Phone
(443) 722-8948
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R166429 MD Primary

Addresses

Primary practice location

7 Cedarhouse CT
Rosedale, MD 21237-3503

Mailing address

7 Cedarhouse CT
Rosedale, MD 21237-3503
Phone (443) 722-8948

Other practice location 1

5309 Old Court Rd Ste E2
Randallstown, MD 21133-5248
Phone (443) 722-8948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820003901 MD Practitioner - Nurse Practitioner 4082137575

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Cedarhouse CT
Rosedale, MD 21237-3503

706 Ferry St
East Dublin, GA 31027-7450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R166429MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Veroxy Health Inc Psychiatric/Mental Health Current Accepting new patients
Veroxy Health Inc Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

5309 Old Court Rd
Ste E2
Randallstown, MD 21133
Phone (437) 228-9484

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1982400065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDARHOUSE CT",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373503",
            "telephone_number": "443-722-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDARHOUSE CT",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373503",
            "telephone_number": "443-722-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5309 Old Court Rd Ste E2",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335248",
            "country_code": "US",
            "telephone_number": "443-722-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUGO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R166429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.