Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Omar Agosto, MD

Individual provider Diagnostic Radiology Physician · NPI 1942403571

Dr. Omar Agosto, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Missouri and Pennsylvania.

Years since qualifying
24
Licensed in
MO, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-7237
Fax: (215) 707-9386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD427190 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2007013148 (MO)

Record details

NPI number1942403571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2007
Last updated in NPPESJune 7, 2013
Mailing address2450 W Hunting Park Ave, Philadelphia, PA 19129-1302

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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