Individual provider Active NPI

Pauline C Aquino, M.D.

  • Family Medicine Physician
  • Clio, MI
National Provider Identifier
1356370407
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301079584 Issued in MI
Practice address
5092 W Vienna Rd
Ste G
Clio, MI 48420-2803
Phone
(810) 686-2212
Fax
(810) 686-7940
NPI assigned
Jul 1, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301079584 MI Primary

Addresses

Primary practice location

5092 W Vienna Rd
Ste G
Clio, MI 48420-2803

Mailing address

5092 W Vienna Rd Ste G
Clio, MI 48420-2804
Phone (810) 686-2212

Other practice location 1

6175 Lapeer Rd
Burton, MI 48509-2417
Phone (810) 743-1408

Other identifiers 1

IdentifierTypeStateIssuer
4721150MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040901000598 MI Practitioner - Family Practice 5193790111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthways Michigan Group PLCGroup PAC ID 8426317728, 3 clinicians

Practice addresses (Care Compare)

6175 Lapeer Rd
Burton, MI 48509-2417
Phone (810) 743-1408

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthways Michigan Group, PLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

6175 Lapeer Rd
Burton, MI 48509
Phone (810) 743-1408

5092 W Vienna Rd
Ste G
Clio, MI 48420
Phone (810) 686-2212

Interoperability endpoints

  • Direct secure messaging: paulineaquino@pmi.allscriptsdirect.net

Organizations & group practices 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1356370407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD STE G",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202804",
            "telephone_number": "810-686-2212",
            "fax_number": "810-686-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD",
            "address_2": "STE G",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202803",
            "telephone_number": "810-686-2212",
            "fax_number": "810-686-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485092417",
            "country_code": "US",
            "telephone_number": "810-743-1408",
            "fax_number": "810-743-1561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "PAULINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301079584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4721150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

Verify at the official NPI Registry.