Individual provider Active NPI

Antonio Aguilar, PA-C

  • Medical Physician Assistant
  • Columbia, MD
National Provider Identifier
1184898488
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004506 Issued in MD
Practice address
5900 Cedar LN
Columbia, MD 21044-3635
Phone
(443) 718-4067
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004506 MD Primary

Addresses

Primary practice location

5900 Cedar LN
Columbia, MD 21044-3635

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080730000542 TX Practitioner - Physician Assistant 9032283619 Reassigns benefits to 5 organizations
I20120120000713 MD Practitioner - Physician Assistant 9032283619
I20210524002867 CA Practitioner - Physician Assistant 9032283619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58573CAMDOncology Pharmacist
C0004506MDMDMedical Physician Assistant
002110CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC CurrentSince Aug 16, 2019 Accepting new patients
Questcare Medical Services, PLLC CurrentSince Aug 16, 2019 Accepting new patients
Ehra Medical Services of Virginia, PC Past Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients
Saint Raphael Faculty Physicians II Past Accepting new patients
VA-I Medical Services PC Past Accepting new patients
Maryland Provo-I Medical Services, PC Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Caton Emergency Physicians Past Accepting new patients
Sheridan Emergency Physician Services of Virginia, Inc Past Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

Interoperability endpoints

  • Direct secure messaging: antonio.aguilar.1@14883.direct.athenahealth.com
  • Direct secure messaging: aaguilar1696658@oc.providencedirect.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1184898488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443635",
            "telephone_number": "443-718-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.