Individual provider Active NPI

Aristoteles Pena-Miches, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Monroe, LA
National Provider Identifier
1326175829
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD.09705R Issued in LA
Practice address
500 Hall St
Monroe, LA 71201-7531
Phone
(318) 966-7337
Fax
(318) 966-7328
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 09705R LA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD.09705R LA Primary

Addresses

Primary practice location

500 Hall St
Monroe, LA 71201-7531

Mailing address

500 Hall St
Monroe, LA 71201-7531
Phone (318) 966-7337

Other identifiers 1

IdentifierTypeStateIssuer
1967513MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apenamiches7850@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040814000072 LA Practitioner - Pediatric MedicinePractitioner - Neurology 8224001631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

500 Hall St
Monroe, LA 71201-7531
Phone (318) 966-7337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09705RLAMDSpecialist
MD.09705RLAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Dec 9, 2013 Accepting new patients
Outpatient Physician Practice No 5 Neurology With Special Qualifications in Child Neurology PastSince Dec 9, 2013 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

500 Hall St
Monroe, LA 71201
Phone (318) 323-8847

Interoperability endpoints

  • Direct secure messaging: apenamiches7850@direct.casso.us.com

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.

Hospital & facility affiliations 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1326175829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HALL ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017531",
            "telephone_number": "318-966-7337",
            "fax_number": "318-966-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HALL ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017531",
            "telephone_number": "318-966-7337",
            "fax_number": "318-966-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-MICHES",
        "first_name": "ARISTOTELES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "09705R",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "LA",
            "license": "MD.09705R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1967513",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apenamiches7850@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "apenamiches7850@direct.casso.us.com",
            "address_1": "500 Hall St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "500 Hall St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.