Agewell Medical Group Inc
NPI 1649142399 · Family Medicine Physician · Burbank, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agewell Medical Group Inc is a Family Medicine Physician organization in Burbank, CA (NPI 1649142399).
Provider details
- NPI number
- 1649142399
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Basem Farag, President/Md(818) 588-3705
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
Under 1 yr in 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
- 2025-09-22
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Agewell Medical Group Inc's NPI number?
- Agewell Medical Group Inc's National Provider Identifier (NPI) is 1649142399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agewell Medical Group Inc?
- Agewell Medical Group Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Agewell Medical Group Inc located?
- Agewell Medical Group Inc's practice location on file with NPPES is 142 W Verdugo Ave, Burbank, CA 91502-2132.
- What is Agewell Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Agewell Medical Group Inc is (818) 588-3705.
- Does Agewell Medical Group Inc accept Medicare?
- Agewell Medical Group Inc 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 Agewell Medical Group Inc?
- The authorized official listed on Agewell Medical Group Inc's NPPES record is Basem Farag, President/Md. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agewell Medical Group Inc's NPI active?
- Yes — Agewell Medical Group Inc's NPI (1649142399) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.