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EVELYN AGU
NPI 1972484897
Family Medicine in Texarkana, AR

Active since September 09, 2025PECOS Enrolled
3417 U OF A WAY, TEXARKANA, AR 71854(903) 293-7079(870) 779-6050 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 27, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Evelyn Agu NPPES

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

EVELYN AGU (NPI 1972484897) is an individual family medicine provider in Texarkana, Arkansas, licensed in New York (P137524) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972484897
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEVELYN AGU
Location Address3417 U OF A WAYTexarkana, AR 71854-1419
Mailing Address1105 Valley Vista DrIrving, TX 75063-9395
Phone(903) 293-7079
Fax(870) 779-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2025
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1972484897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · P137524
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3417 U OF A WAY, Texarkana, AR 71854
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Secondary Practice Location 1

Location 1612 Allerton AveBronx, NY 10467-7404 · Phone (718) 709-0940 · Fax (516) 441-6768

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Agu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395249304
PECOS Enrollment IDI20250922000688
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 71854 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

AUTUMN MISHA BROWN MD
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. JOSEPH EUGENE MOORE MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. ENITAN OMOWUNMI MARTINS M.D.
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
ADEBOYE OPEOLUWA GRILLO MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
LIN-CHIANG TSENG DO
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
KENNETH GEORGE ROSS M.D.
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. TRAVIS CHIN MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000

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 Evelyn Agu's NPI number?

The NPI number for Evelyn Agu is 1972484897. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Evelyn Agu located?

Evelyn Agu practices at 3417 U Of A Way, Texarkana, AR 71854. The listed phone number is (903) 293-7079.

What is Evelyn Agu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evelyn Agu enrolled in Medicare?

Yes. Evelyn Agu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evelyn Agu was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.