Jacob K Agamasu MD PA
NPI 1629151683ActiveOrganization· Internal Medicine, Cardiovascular Disease· Lake Mary, FL
Internal Medicine, Cardiovascular Disease in Lake Mary, Florida, registered in NPPES in October 2006. The authorized official on file is Jacob K. Agamasu, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629151683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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