DR. AGNES IDICULA – Internal Medicine Physician, NPI 1568464824

DR. AGNES IDICULA is a healthcare provider. based in Weeki wachee, Florida. specializing in Internal Medicine Physician. They hold a License No. ME59607 (FL). The NPI Number for DR. AGNES IDICULA is 1568464824

Main info

Female
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. AGNES IDICULA
NPI
1568464824
Phone
(352) 596-4660
Address
10065 CORTEZ BLVD
Enumeration Date
1 June 2005
Last Update Date
6 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525964660
Graduation Year
1967 (59 years ago)
PAC ID
8729187273
Group Practice PAC ID
0840290730
Professional Enrollment ID
I20100917000395
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. AGNES IDICULA

  • Cortez Boulevard, Weeki Wachee, Hernando County, Florida, 34613, United States

    WEEKI WACHEE, FL 346136389

    Phone: (352) 596-4660

    Fax: (352) 596-4674

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100917000395IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840290730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
-FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Family PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify DR. AGNES IDICULA for billing?
Administrative and clinical systems typically use NPI 1568464824 for DR. AGNES IDICULA.
Quick check: is DR. AGNES IDICULA active?
Public NPPES data shows DR. AGNES IDICULA with an active NPI status right now.
Which specialty label fits DR. AGNES IDICULA?
NPPES ties DR. AGNES IDICULA to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. AGNES IDICULA?
The directory associates DR. AGNES IDICULA with Weeki Wachee, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. AGNES IDICULA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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