Kathy Agiri, is a medicare enrolled "Nurse Practitioner - Family" physician in Round Rock, Texas. Her current practice location is
1855 Gattis School Rd, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 238-6268.
Kathy Agiri is licensed to practice in Minnesota (license number 10261) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619328531.
Physician's Profile
| Full Name | Kathy Agiri |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1855 Gattis School Rd, Round Rock, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619328531
- Provider Enumeration Date: 06/22/2016
- Last Update Date: 10/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042601627
- Enrollment ID: I20211216000612
Medical Identifiers
Medical identifiers for Kathy Agiri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619328531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN771906 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 73459 (New Mexico) | Secondary |
| 207Q00000X | Family Medicine | 0033510 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | APRN11017414 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 129726 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 2900130 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 30926 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10261 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | COND2374574 (Massachusetts) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | RN15273 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 0024184951 (Virginia) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 26NJ150158000 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 53-80878-031 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | LG-0012611 (Delaware) | Secondary |
| 207Q00000X | Family Medicine | A167152 (Iowa) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathy Agiri allows following entities to bill medicare on her behalf.
| Entity Name | Vpa Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy Agiri is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kathy Agiri,
5807 Eden Crest Ct,
Richmond, TX 77407-1618
Ph: (832) 264-5932 | Kathy Agiri,
1855 Gattis School Rd,
Round Rock, TX 78664-7428
Ph: (512) 238-6268 |
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