Individual provider Active NPI

Miguel R Aguilo-Seara, M.D.

  • Psychiatry Physician
  • Jeffersonville, PA
National Provider Identifier
1316967060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD045318L Issued in PA
Practice address
104 Egypt Rd
Jeffersonville, PA 19403-3029
Phone
(610) 277-5022
Fax
(610) 277-5023
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD045318L PA Primary

Addresses

Primary practice location

104 Egypt Rd
Jeffersonville, PA 19403-3029

Mailing address

104 Egypt Rd
Jeffersonville, PA 19403-3029
Phone (610) 277-5022

Other identifiers 3

IdentifierTypeStateIssuer
260051694OtherPARAILROAD MEDICARE
0012956900038MedicaidPA
2679862000OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101027001335 PA Practitioner - Psychiatry 3173553377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haven Behavioral Services of Philadelphia, LLCGroup PAC ID 8426297433, 6 clinicians

Practice addresses (Care Compare)

104 Egypt Rd
Jeffersonville, PA 19403-3029
Phone (610) 277-5022

3300 Henry Ave
Unit 4
Philadelphia, PA 19129-1141
Phone (215) 475-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045318LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neuropsychiatric Group Psychiatry CurrentSince May 30, 2001 Accepting new patients
Jraphe P.C. Current Accepting new patients
Haven Behavioral Services of Philadelphia, LLC CurrentSince Jul 14, 2014 Accepting new patients

Locations

500 Washington St
Easton, PA 18042
Phone (610) 253-3573

104 Egypt Rd
West Norriton, PA 19403
Phone (610) 277-5022

3102 West End Ave
Ste 1000
Nashville, TN 37203

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316967060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EGYPT RD",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033029",
            "telephone_number": "610-277-5022",
            "fax_number": "610-277-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EGYPT RD",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033029",
            "telephone_number": "610-277-5022",
            "fax_number": "610-277-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILO-SEARA",
        "first_name": "MIGUEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD045318L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260051694",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012956900038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2679862000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, PA

Sources for this page

Verify at the official NPI Registry.