DEBORAH G. AGISIM M.D. NPI 1154325553

NPI Information

  • NPI: 1154325553
  • Provider Name: DEBORAH G. AGISIM, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 E MOREHEAD ST
    STE 300
    CHARLOTTE, NC
    ZIP 28202
  • Phone: (704) 334-7800

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NPI Details

Deborah G. Agisim, M.D. is a diagnostic radiology radiology in Charlotte, NC with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Deborah G. Agisim, M.D. NPI is 1154325553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1997

The provider's business location address is:

700 E MOREHEAD ST
STE 300
CHARLOTTE, NC
ZIP 28202-788
Phone: (704) 334-7800
Fax: (704) 414-7512

The NPI 1154325553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • X-ray of surgical specimen (HCPCS:76098)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of both breasts (HCPCS:77049)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Placement of locating device in breast using imaging guidance, first growth (HCPCS:19281)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 6/13/2005 and was last updated on 12/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology200300546NORTH CAROLINAYes
22085R0202XRadiologyDiagnostic Radiology23826SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00022677OTHERNORTH CAROLINARR MEDICARE (NC)
21154325553OTHERSOUTH CAROLINARR MEDICARE (SC)
389134EEMEDICAIDNORTH CAROLINA
4N30546MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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