Jacob K Agamasu MD PA
NPI 1629151683 · Cardiovascular Disease Physician · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob K Agamasu MD PA is a Cardiovascular Disease Physician organization in Lake Mary, FL (NPI 1629151683).
Provider details
- NPI number
- 1629151683
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Agamasu, Owner(407) 804-9616
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Jacob K Agamasu MD PA's NPI number?
- Jacob K Agamasu MD PA's National Provider Identifier (NPI) is 1629151683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob K Agamasu MD PA?
- Jacob K Agamasu MD PA is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob K Agamasu MD PA located?
- Jacob K Agamasu MD PA's practice location on file with NPPES is 731 Stirling Center Pl Unit 1911, Lake Mary, FL 32746-5209.
- What is Jacob K Agamasu MD PA's phone number?
- The practice phone number listed in the NPPES registry for Jacob K Agamasu MD PA is (407) 804-9616.
- Does Jacob K Agamasu MD PA accept Medicare?
- Jacob K Agamasu MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacob K Agamasu MD PA?
- The authorized official listed on Jacob K Agamasu MD PA's NPPES record is Jacob Agamasu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob K Agamasu MD PA's NPI active?
- Yes — Jacob K Agamasu MD PA's NPI (1629151683) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.