Active NPI
Ana R De Aguiar, MD
- Pediatrics Physician
- Metairie, LA
National Provider Identifier
1093790230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15344R
- Practice address
- 4420 Conlin St
#205
Metairie, LA 70006-2167 - Phone
- (504) 455-8887
- Fax
- (504) 455-2269
- NPI assigned
- Dec 9, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15344R | LA | Primary |
Addresses
Primary practice location
4420 Conlin St
#205
Metairie, LA 70006-2167
Mailing address
4420 Conlin St
#205
Metairie, LA 70006-2167
Phone (504) 455-8887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1173525 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15344R | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/TGXWVOelATtk6ci_q_H9utj9QjU3VuOR/
Organizations & group practices 1
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": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093790230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 CONLIN ST",
"address_2": "#205",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062167",
"telephone_number": "504-455-8887",
"fax_number": "504-455-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 CONLIN ST",
"address_2": "#205",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062167",
"telephone_number": "504-455-8887",
"fax_number": "504-455-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE AGUIAR",
"first_name": "ANA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "15344R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1173525",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.