Cielito M Aguinaldo, MD
Individual provider Active NPI Internal Medicine Physician · Largo, MD
NPI 1063585347 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1063585347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D41945 (MD)
- Practice address
- 1221 Mercantile LN
Kaiser Permanente Largo Medical Center
Largo, MD 20774-5374 - Phone
- (301) 618-5500
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110420000552 | MD | Practitioner - Internal Medicine | 0547385924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52364 | CA | MD | Internal Medicine Physician |
| 0101058767 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
2101 E Jefferson St
#4E
Rockville, MD 20852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52364 | CA | |
| Internal Medicine Physician | 207R00000X | MD19062 | DC | |
| Internal Medicine Physician | 207R00000X | 0101058767 | VA | |
| Internal Medicine Physician | 207R00000X | D41945 | MD | Yes |
Addresses
Primary practice location
1221 Mercantile LN
Kaiser Permanente Largo Medical Center
Largo, MD 20774-5374
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Largo, MD
- Affordable Behavioral Consultants
- Affordable Behavioral Consultants, Inc
- Regina Afriyie
- Nwamaka Agbasi
- Meetu Agrawal
- Akili Wellness Services, LLC
- Olaoluwa Akin
- Grace Akinpetide
- Mayowa Akinwande
- Halimat Ebun Akojie
All providers in Largo, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.