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DR. NICODEME WANKO AGASSY MD
NPI 1477044550
Radiology - Diagnostic Radiology in Boston, MA

Active since May 23, 2018PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Apr 30, 2026, Jul 16, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Nicodeme Wanko Agassy Md NPPES

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

DR. NICODEME WANKO AGASSY MD (NPI 1477044550) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1026325) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Brunswick, and is a graduate of State University Of Ny Upstate Medical University (2018).

NPPES Registry Identity

NPI1477044550
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICODEME WANKO AGASSYCredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address1 Richmond St Apt 4012New Brunswick, NJ 08901-4102 · (240) 715-7885
Phone(617) 732-5500
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2018
Enumeration DateMay 23, 2018
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1477044550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 1026325✔ Licensed in TX · W5615
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 25MA11170500 (NJ)
75 FRANCIS ST, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (240) 715-7885

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicodeme Wanko Agassy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840760435
PECOS Enrollment IDI20260526000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUMA RAJBHANDARI
Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 525-6841
WENYA LINDA BI
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (203) 645-9485
CHI YUEN CHAN M.D.
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
JENNIFER MICHELLE THOMAS MD
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-6248
GAURAV SHARMA M.D.
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (951) 259-0890
DR. EUGENE RICHARDSON MD
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-8881
YEU-SHIN CINDY CHANG M.D., M.P.H.
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Suffolk County (617) 732-8070
CARA L RICHARDS
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500

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 Nicodeme Wanko Agassy's NPI number?

The NPI number for Nicodeme Wanko Agassy is 1477044550. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Nicodeme Wanko Agassy located?

Nicodeme Wanko Agassy practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Nicodeme Wanko Agassy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicodeme Wanko Agassy enrolled in Medicare?

Yes. Nicodeme Wanko Agassy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicodeme Wanko Agassy was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.