Active NPI
Hernan Aguilos
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121735
- Practice address
- 1923 S Utica Ave FL 3
Tulsa, OK 74104-6520 - Phone
- (918) 744-2333
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 67978 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 121735 | OK | Primary |
Addresses
Primary practice location
1923 S Utica Ave FL 3
Tulsa, OK 74104-6520
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161129002753 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032499595 | Reassigns benefits to 2 organizations |
| I20230426000059 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032499595 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integral Anesthesia LLC
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
Hospital & facility affiliations
- Ascension St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121735 | OK | MD | Certified Registered Nurse Anesthetist |
| 67978 | KS | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Pathology Laboratory Associates, Inc. | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Dept 2269
Tulsa, OK 74182
1923 S Utica Ave
Fl 3
Tulsa, OK 74104
Phone (918) 744-2333
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered, OK
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1750314076
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1124473665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE FL 3",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-744-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILOS",
"first_name": "HERNAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KS",
"license": "67978",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "121735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.