Dr. Michael Sd Agus
MD | Pediatric Critical Care Medicine | Male
Dr. Michael Sd Agus, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Michael Sd Agus is
300 Longwood Ave, Main 11 South, Boston, Massachusetts - 02115-5724. He can be contacted on phone at
617-355-5849 and fax number 888-883-9238.
Dr. Michael Sd Agus is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Sd Agus is
1952382301 which was assigned by NPPES on 10 Nov, 2005 and it was last updated on 10 Apr, 2014.
Dr. Michael Sd Agus license number is
157152 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Massachusetts.
Dr. Michael Sd Agus is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Michael Sd Agus basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Michael Sd Agus |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Michael Sd Agus address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave, Main 11 South
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-5849 |
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| Fax Number : | 888-883-9238 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952382301 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Nov, 2005 |
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| Last Updated On : | 10 Apr, 2014 |
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Medicare Participation:
Dr. Michael Sd Agus participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4587652623 |
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| Medicare Enrollment ID : | I20040505001381 |
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| Primary Specialty : | Critical Care (intensivists) |
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| Medical School : | Perelman School Of Med At The University Of Pennsylvania |
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| Graduation Year : | 1995 |
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| Accepts Medicare? | Yes. Dr. Michael Sd Agus accepts medicare insurance. |
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Group Practice Association:
Dr. Michael Sd Agus is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael Sd Agus is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Children's Hospital Pediatric Associates, Inc | 3476541830 | 231 | 300 Longwood Ave
Boston, MA - 021155724
Ph: 6173556000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Sd Agus are as mentioned. Primary taxonomy code for Dr. Michael Sd Agus, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 157152 | MA |
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 157152 | MA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 157152 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Sd Agus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| J19867 | Other | MA | BCBS MA |
| 157152 | Other | MA | TUFTS HEALTH PLAN |
| 3197239 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Longwood Ave, Main 11 South
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-5849 |
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| Fax Number : | 888-883-9238 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Sd Agus practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.