DR. MATTHEW AGAM MD
NPI 1720540990
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Matthew Agam's NPI number?

The NPI number for Matthew Agam is 1720540990. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Matthew Agam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Agam was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 04, 2019PECOS Enrolled

1365B CLIFTON RD NE RM B6169C, ATLANTA, GA 30322(404) 778-2190(404) 778-4472 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Apr 4, 2019 (2 updates tracked since 2019).

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About Dr. Matthew Agam Md NPPES

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

DR. MATTHEW AGAM MD (NPI 1720540990) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720540990

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MATTHEW AGAMCredential: MD

Location Address1365B CLIFTON RD NE RM B6169CAtlanta, GA 30322-1059

Mailing Address1365b Clifton Rd Ne Rm B6169cAtlanta, GA 30322-1059 · (404) 778-2190 · Fax (404) 778-4472

Phone(404) 778-2190

Fax(404) 778-4472

Sole ProprietorYes

Enumeration DateApril 4, 2019

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1720540990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedNeurological SurgeryTaxonomy 207T00000X · License 28457 (NV)

1365B CLIFTON RD NE RM B6169C, Atlanta, GA 30322

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Agam 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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Agam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sierra Neurosurgery Group

1,996 mi

Neurological Surgery

5590 KIETZKE LN
Reno, NV 89511

Reassigned Medicare billing, Nevada enrollment
23 clinicians in this Medicare group

NPI 1295914661 (775) 323-2080

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 Matthew Agam's NPI number?

The NPI number for Matthew Agam is 1720540990. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Matthew Agam located?

Matthew Agam practices at 1365B Clifton Rd NE Rm B6169c, Atlanta, GA 30322. The listed phone number is (404) 778-2190.

What is Matthew Agam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Agam enrolled in Medicare?

Yes. Matthew Agam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Agam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Agam reassigns Medicare benefits to Sierra Neurosurgery Group (Reno, NV). The 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 Matthew Agam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Agam accept?

Health plans from Ambetter from Arizona Complete Health list Matthew Agam 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.

When was this NPI record last updated?

The NPPES record for Matthew Agam was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.