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

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: August 16, 2026.

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

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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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. 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.

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.

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 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.