Agave Physician Services LLC
NPI 1053082263ActiveOrganization· Internal Medicine, Hospice and Palliative Medicine· Phoenix, AZ
Internal Medicine, Hospice and Palliative Medicine in Phoenix, Arizona, registered in NPPES in September 2021. The authorized official on file is Rhett S. Andersen, Member.
Overview
| NPI | 1053082263 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Sep 27, 2021 |
| Certified by provider | Sep 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine Primary | 207RH0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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