Individual provider Active NPI

Enrico Gulua Aguas, MD

  • Internal Medicine Physician
  • Crosbyton, TX
National Provider Identifier
1285697979
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J1830 Issued in TX
Practice address
710 W Main Street
Crosbyton, TX 79322
Phone
(806) 675-7382
Fax
(806) 675-0152
NPI assigned
Apr 11, 2006
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J1830 TX
Internal Medicine Physician 207R00000X J1830 TX Primary

Addresses

Primary practice location

710 W Main Street
Crosbyton, TX 79322

Mailing address

3420 22ND Place
Lubbock, TX 79410
Phone (806) 725-7800

Other practice location 1

7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202
Phone (806) 723-9000

Other identifiers 1

IdentifierTypeStateIssuer
140334744MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050218000257 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 7214989144 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Emergency Staffing Solutions of West Texas LLCGroup PAC ID 7113237868, 7 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

1900 College Ave
Levelland, TX 79336-6508
Phone (806) 894-4963

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1830TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Jul 25, 2017 Accepting new patients
Fairmont Pkwy Emergency Center, LLC CurrentSince Feb 22, 2024 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 10, 2017 Accepting new patients
Eastchase Texas Emergency Center, LLC Emergency Medicine CurrentSince Apr 3, 2024 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Exceptional Physicians Group Lubbock Hospital PLLC Emergency Medicine CurrentSince Mar 2, 2024 Accepting new patients
Altus Lake Jackson, LP CurrentSince Apr 9, 2024 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Mueller Austin Emergeny Center, LLC CurrentSince Jan 25, 2024 Accepting new patients
Amarillo North Texas Emergency Center, LLC Emergency Medicine CurrentSince Dec 14, 2023 Accepting new patients
South Lamar Austin Emergency Center, LLC CurrentSince Dec 14, 2023 Accepting new patients
Brownsville Texas Emergency Center, LLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Altus Waxahachie, LP CurrentSince Mar 9, 2024 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Dec 7, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 10, 2017 Accepting new patients
Livingston Texas Emergency Center, LLC Emergency Medicine CurrentSince Mar 3, 2024 Accepting new patients
Exceptional Health Care Lubbock LLC PastSince Nov 19, 2023 Accepting new patients
Buffalo Springs Emergency Physicians Emergency Medicine Past Accepting new patients
Howard Emergency Medicine Associates PA. Emergency Medicine Past Accepting new patients
Emergency Physicians of Lubbock PA Emergency Medicine Past Accepting new patients

Locations (25 of 26)

2101 S Coulter St
Amarillo, TX 79106
Phone (806) 310-5086

2105 S Western St
Amarillo, TX 79109
Phone (806) 353-3200

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

1801 E 51st St
Austin, TX 78723
Phone (512) 271-6677

2020 E Riverside Dr
Austin, TX 78741
Phone (737) 717-4100

4015 S Lamar Blvd
Austin, TX 78704
Phone (512) 440-8333

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

449 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 435-0452

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

1251 Eastchase Pkwy
Fort Worth, TX 76120
Phone (817) 566-0285

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1535 West Loop S
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

200 Oak Dr S
Lake Jackson, TX 77566
Phone (409) 227-0520

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

111 Emergency Dr
Livingston, TX 77352
Phone (936) 327-7000

4337 50th St
Lubbock, TX 79413
Phone (806) 630-4501

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

6401 Spur 327
Lubbock, TX 79424
Phone (436) 341-7800

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

7215 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 487-0339

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: eaguas@yourcarecommunity.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1285697979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PLACE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-7800",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W MAIN STREET",
            "city": "CROSBYTON",
            "state": "TX",
            "postal_code": "79322",
            "telephone_number": "806-675-7382",
            "fax_number": "806-675-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7509 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794078202",
            "country_code": "US",
            "telephone_number": "806-723-9000",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUAS",
        "first_name": "ENRICO",
        "middle_name": "GULUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J1830",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140334744",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosbyton, TX

Sources for this page

Verify at the official NPI Registry.