Santiago Javier Aguilar Duenas, MD
Individual provider Active NPI Internal Medicine Physician · Memphis, TN
NPI 1285897553 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1285897553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 47231 (TN)
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120 - Phone
- (901) 226-3610
- Fax
- (901) 226-3612
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
Baptist Memorial Medical Group, Inc.
Southeastern Physician Services PC
Greenbrook Physician Services, LLC
Practice addresses (Care Compare)
2013 Exeter Rd
Germantown, TN 38138-3946
Phone (901) 737-4035
216 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-9042
255 Baptist Blvd
Columbus, MS 39705-2006
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130
Hospital & facility affiliations
- Baptist Trinity Homecare & Hospice
- Extendicare Home Health of West TN
- Baptist Home Care and Hospice North Mississippi
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital Tipton
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, MS, AR
- 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 |
|---|---|---|---|---|
| I20111011000282 | TN | Practitioner - Internal Medicine | 8527230846 | Reassigns benefits to 2 organizations |
| I20140925000705 | MS | Practitioner - Internal Medicine | 8527230846 | Reassigns benefits to 2 organizations |
| I20200824003146 | AR | Practitioner - Internal Medicine | 8527230846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47231 | TN | MD | Pharmacist |
| E-12764 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrook Physician Services, LLC | Internal Medicine | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6025 Walnut Grove Rd
Ste 400
Memphis, TN 38120
Phone (901) 226-1309
7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-12764 | AR | |
| Internal Medicine Physician | 207R00000X | 23275 | MS | |
| Internal Medicine Physician | 207R00000X | 47231 | TN | Yes |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Other practice location 1
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980
Other practice location 2
2100 N 7th St
West Memphis, AR 72301-2017
Phone (901) 226-3610
Other providers in Memphis, TN
- Hitesh Agrawal
- Vijaykumar Agrawal
- Charles Agriesti
- Allison Starr Aguado
- Christina Danielle Aguero
- Elaura Dana Aguilar
- Robert Neal Aguillard
- Asya Agulnik
- Brian Ahern
- Lauren Ahern
All providers in Memphis, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.