Individual provider Active NPI

Paul Aguillon, M.D.

  • Family Medicine Physician
  • Blades, DE
National Provider Identifier
1275813552
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10011133 Issued in DE
Practice address
401 Concord Rd
Blades, DE 19973
Phone
(302) 629-6664
Fax
(302) 629-6134
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X C10011133 DE Primary

Addresses

Primary practice location

401 Concord Rd
Blades, DE 19973

Mailing address

401 Concord Rd
Blades, DE 19973-4274
Phone (302) 629-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150427000631 DE Practitioner - Family Practice 9335468214 Reassigns benefits to 1 organization
Practice locations: Blades, DE

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Concord Rd
Blades, DE 19973-4274
Phone (302) 629-6664

Hospital & facility affiliations

  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Tidalhealth Home Care Home health agency, Laurel, DE, CCN 087036
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score
80.01 of 100Reported as individual
Quality
51.64
Improvement activities
40
Cost
86.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10011133DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Medical Center, Inc Family Medicine CurrentSince Feb 20, 2020 Accepting new patients

Locations

401 Concord Rd
Seaford, DE 19973
Phone (302) 629-6664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15303/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1275813552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CONCORD RD",
            "city": "BLADES",
            "state": "DE",
            "postal_code": "199734274",
            "telephone_number": "302-629-6664",
            "fax_number": "302-629-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CONCORD RD",
            "city": "BLADES",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-629-6664",
            "fax_number": "302-629-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILLON",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10011133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blades, DE

Sources for this page

Verify at the official NPI Registry.