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RIDGEWOOD PHYSICIANS, PLLC
NPI 1053936344
Internal Medicine in Orlando, FL

Active since June 11, 2020
2725 NORTHAMPTON AVE, ORLANDO, FL 32828(689) 253-2379(731) 660-2121 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Jun 11, 2020 (2 updates tracked since 2020).

About Ridgewood Physicians, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGEWOOD PHYSICIANS, PLLC (NPI 1053936344) is a healthcare organization registered as an internal medicine in Orlando, Florida and active in the NPI registry since June 2020. The organization lists Kamaldeen Agoro, Owner, as its authorized official.

NPPES Registry Identity

NPI1053936344
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRIDGEWOOD PHYSICIANS, PLLC
Location Address2725 NORTHAMPTON AVEOrlando, FL 32828-7910
Mailing Address2725 Northampton AveOrlando, FL 32828-7910 · (689) 253-2379 · Fax (731) 660-2121
Phone(689) 253-2379
Fax(731) 660-2121
Organization SubpartNo
Authorized OfficialKamaldeen AgoroOwner · (689) 253-2379
Enumeration DateJune 11, 2020
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1053936344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2725 NORTHAMPTON AVE, Orlando, FL 32828
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ridgewood Physicians, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ridgewood Physicians, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kamaldeen Agoro, M.D
Internal Medicine
NPI 1528325644
2725 NORTHAMPTON AVE
Orlando, FL 32828
(689) 253-2379
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridgewood Physicians, PLLC's NPI number?

The NPI number for Ridgewood Physicians, PLLC is 1053936344. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Ridgewood Physicians, PLLC located?

Ridgewood Physicians, PLLC is located at 2725 Northampton Ave, Orlando, FL 32828. The listed phone number is (689) 253-2379.

What is Ridgewood Physicians, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ridgewood Physicians, PLLC enrolled in Medicare?

Yes. Ridgewood Physicians, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ridgewood Physicians, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ridgewood Physicians, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ridgewood Physicians, PLLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.