Individual provider Active NPI

Nicolas Joseph Aguila, MD

  • Dermatology Physician
  • Wesley Chapel, FL
National Provider Identifier
1306306626
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
161329 Issued in FL
Practice address
2441 Oak Myrtle LN Ste 101
Wesley Chapel, FL 33544-6334
Phone
(813) 465-4897
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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
Dermatology Physician 207N00000X 161329 FL Primary

Addresses

Primary practice location

2441 Oak Myrtle LN Ste 101
Wesley Chapel, FL 33544-6334

Mailing address

1320 Stony Brook Rd Ste 200
Stony Brook, NY 11790-2215
Phone (631) 444-4200

Other practice location 1

1320 Stony Brook Rd Ste 200
Stony Brook, NY 11790-2215
Phone (631) 444-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230913001595 FL Practitioner - Dermatology 2264896901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Florida State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Medicine and Surgery, P.a.Group PAC ID 9739352923, 5 clinicians

Practice addresses (Care Compare)

2441 Oak Myrtle LN
Suite 101
Wesley Chapel, FL 33544-6334
Phone (813) 406-4835

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions562
Removal or shaving of skin growth253
Skin biopsy36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161329FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Medicine & Surgery, P.a. Dermatology CurrentSince Aug 4, 2023 Accepting new patients
Stony Brook Pathologists, University Faculty Practice Corporation PastSince Mar 1, 2020 Accepting new patients
Stony Brook Dermatology Associates, University Faculty Practice Corpor Dermatology PastSince Mar 1, 2020 Accepting new patients

Locations

7040 Land O Lakes Blvd
Unit 101
Land O Lakes, FL 34638
Phone (813) 406-4835

8141 Bellarus Way
Ste 101
Trinity, FL 34655

2441 Oak Myrtle Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 403-4835

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1306306626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 STONY BROOK RD STE 200",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902215",
            "telephone_number": "631-444-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 OAK MYRTLE LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446334",
            "telephone_number": "813-465-4897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Stony Brook Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117902215",
            "country_code": "US",
            "telephone_number": "631-444-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "NICOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "161329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.