Individual provider Active NPI

Edwin Abella Aquino, M.D.

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1174596720
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD027976E Issued in PA
Practice address
845 Sir Thomas CT
Suite 10
Harrisburg, PA 17109-4840
Phone
(717) 541-5406
Fax
(717) 541-5449
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD027976E PA Primary

Addresses

Primary practice location

845 Sir Thomas CT
Suite 10
Harrisburg, PA 17109-4840

Mailing address

845 Sir Thomas CT
Suite 10
Harrisburg, PA 17109-4840
Phone (717) 541-5406

Other identifiers 1

IdentifierTypeStateIssuer
192535OtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101214000921 PA Practitioner - Physical Medicine and Rehabilitation 3476740622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Sir Thomas CT
Suite 10
Harrisburg, PA 17109-4843
Phone (717) 541-5406

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin a. Aquino, M.D., P.C. Specialist CurrentSince Jul 24, 1985 Accepting new patients

Locations

6850 Lows Rd
Bloomsburg, PA 17815
Phone (570) 784-6243

6850 Lows Rd
Ste 325
Bloomsburg, PA 17815
Phone (570) 784-5545

845 Sir Thomas Ct
Ste 10
Harrisburg, PA 17109
Phone (717) 541-5406

1 Commerce Ave
Selinsgrove, PA 17870
Phone (570) 374-9339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1174596720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT",
            "address_2": "SUITE 10",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094840",
            "telephone_number": "717-541-5406",
            "fax_number": "717-541-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT",
            "address_2": "SUITE 10",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094840",
            "telephone_number": "717-541-5406",
            "fax_number": "717-541-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "EDWIN",
        "middle_name": "ABELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD027976E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "192535",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.