EDEM S AGAMAH (MD) – Hematology & Oncology Physician, NPI 1932147279

EDEM S AGAMAH (MD) is a healthcare provider. based in Springfield, Illinois. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 036085000 (IL). The NPI Number for EDEM S AGAMAH (MD) is 1932147279

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
EDEM S AGAMAH (MD)
NPI
1932147279
Phone
(217) 545-8000
Address
315 W CARPENTER ST
Enumeration Date
2 June 2006
Last Update Date
16 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175458000
Graduation Year
1985 (41 years ago)
PAC ID
3173533791
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20070915000133
Address ID
IL627024901SP315XXSTXX400

Contacts

Secure Messaging
edemagamah@siusm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

727 HEMATOLOGY/ONCOLOGY in IL

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Provider Addresses for EDEM S AGAMAH (MD)

  • Simmons Cancer Institute, 315, West Carpenter Street, Springfield, Sangamon County, Illinois, 62702, United States

    PO BOX 19678

    SPRINGFIELD, IL 627024901

    Phone: (217) 545-8000

    Fax: (217) 545-1141

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Janssen Biotech, Inc. ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$90
View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-15

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
I20070915000133IHematology/OncologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2405Injection, ondansetron hydrochloride, per 1 mg82819$0
99214Established patient office or other outpatient visit, 30-39 minutes637272$0
J1100Injection, dexamethasone sodium phosphate, 1 mg46020$0
96372Injection of drug or substance under skin or into muscle14530$0
96413Administration of chemotherapy into vein, 1 hour or less12335$0
View full utilization report →

Insurance plans in this area (ZIP 62702)

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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: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for EDEM S AGAMAH (MD)?
Save NPI 1932147279 if you need a stable reference for EDEM S AGAMAH (MD).
Is EDEM S AGAMAH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EDEM S AGAMAH (MD) work in?
You can think of EDEM S AGAMAH (MD) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for EDEM S AGAMAH (MD)?
The page summarizes Springfield, Illinois for EDEM S AGAMAH (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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