Emilio Aguinaldo, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · O'Fallon, IL
NPI 1184412959 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1184412959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3 Saint Elizabeth'S Blvd.
Suite 4000
O'Fallon, IL 62269 - Phone
- (618) 233-7880
- NPI assigned
- Apr 30, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20251107000401 | MO | Order and Referring Only - Family Practice |
1355831306 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- emilio.aguinaldo.1@9559.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3 Saint Elizabeth'S Blvd.
Suite 4000
O'Fallon, IL 62269
Mailing address
3 Saint Elizabeth'S Blvd.
Suite 4000
O'Fallon, IL 62269
Phone (618) 233-7880
Other providers in O'Fallon, IL
- Oluwadamilola Mercy Adegbenro
- Esha Ahirwar
- Fatima Ahmad
- Christopher James Anderson
- Jayden Patricia Ann Ashford
- Alan T Azar
All providers in O'Fallon, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. 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.