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

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in New Brunswick.

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicodeme Wanko Agassy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicodeme Wanko Agassy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
Diagnostic Radiology
9250 PINECROFT DR
Shenandoah, TX 77380
  • Reassigned Medicare billing, Massachusetts and Texas enrollments
  • Also billed through NPI 1487811766 (Texas)
  • 9 clinicians in this Medicare group
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Nurse Practitioner (Family)
75 FRANCIS ST
BOSTON, MA 02115

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicodeme Wanko Agassy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicodeme Wanko Agassy reassigns Medicare benefits to 3 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Singleton Associates PA (Shenandoah, TX) and Utmb Faculty Group Practice (Galveston, TX). Each 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 Nicodeme Wanko Agassy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicodeme Wanko Agassy accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Taro Health list Nicodeme Wanko Agassy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicodeme Wanko Agassy affiliated with any hospitals?

According to CMS data, Nicodeme Wanko Agassy is affiliated with Massachusetts General Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

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 4 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.