Individual provider Active NPI

Michelle L Aguilar, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1093026593
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
48114 Issued in AZ
Practice address
1500 W Commerce CT
Tucson, AZ 85746-6015
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jun 30, 2010
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R72270 AZ
Pediatrics Physician 208000000X 48114 AZ Primary

Addresses

Primary practice location

1500 W Commerce CT
Tucson, AZ 85746-6015

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131029001729 AZ Practitioner - Pediatric Medicine 3375778392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48114AZMDPediatrics Physician
R72270AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc Multi-Specialty CurrentSince Nov 1, 2013 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2013 Accepting new patients
Tucson Medical Center Multi-Specialty Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

101 W Irvington Rd
Bldg 10
Tucson, AZ 85714
Phone (520) 309-4585

1500 W Commerce Ct
Tucson, AZ 85746
Phone (520) 309-3601

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3225

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: maguilar18086@elrio.direct.ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1093026593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466015",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R72270",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "48114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.