DR. AGBANI IBINABO DAGOGO-JACK MD
NPI 1508879164
Internal Medicine in Memphis, TN

Q: What is Agbani Dagogo-jack's NPI number?

The NPI number for Agbani Dagogo-jack is 1508879164. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Agbani Dagogo-jack's specialty?

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

Active since August 14, 2006PECOS Enrolled

1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Agbani Ibinabo Dagogo-jack Md NPPES

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

DR. AGBANI IBINABO DAGOGO-JACK MD (NPI 1508879164) is an individual internal medicine provider in Memphis, Tennessee, licensed in Missouri (MD108333) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508879164

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. AGBANI IBINABO DAGOGO-JACKCredential: MD

Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127

Mailing Address9636 Mourning Dove CvGermantown, TN 38139-5668 · (901) 271-4900

Phone(901) 523-8990

Sole ProprietorYes

Enumeration DateAugust 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508879164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MO · MD108333

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.

1030 JEFFERSON AVE, Memphis, TN 38104

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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. Agbani Ibinabo Dagogo-jack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MISS DEBORAH GERISE KARTHEISER RN

Registered Nurse (Psychiatric/Mental Health)