NPIMap

Individual provider Active NPI

Demetrio Juan Aguila III, MD

  • Interventional Pain Medicine Physician
  • Omaha, NE
National Provider Identifier
1376503391
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
27722 Issued in NE
Practice address
2122 N 117TH Ave
Omaha, NE 68164-3670
Phone
(402) 370-9515
Fax
(402) 227-8245
NPI assigned
Mar 24, 2006
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 75023 MN
Otolaryngology Physician 207Y00000X 27722 NE
Plastic Surgery Physician 208200000X 27722 NE
Interventional Pain Medicine Physician 208VP0014X 27722 NE Primary

Addresses

Primary practice location

2122 N 117TH Ave
Omaha, NE 68164-3670

Mailing address

PO Box 7
Boys Town, NE 68010-0007
Phone (402) 370-9515

Other identifiers 1

IdentifierTypeStateIssuer
099588074OtherNEMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD, WI, MN4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140625000752 NE Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0547366403 Reassigns benefits to 3 organizations
I20231116003330 SD Practitioner - Otolaryngology 0547366403 Reassigns benefits to 1 organization
I20240123001046 WI Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0547366403 Reassigns benefits to 1 organization
I20260414002550 MN Practitioner - Otolaryngology 0547366403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75023MNMDOtolaryngology Physician
27722NEMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Dec 30, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 17, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
West Holt Memorial Hospital Current Accepting new patients
Specops Surgery, LLC Otolaryngology CurrentSince Oct 15, 2023 Accepting new patients
West Holt Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc Interventional Pain Medicine CurrentSince Dec 30, 2023 Accepting new patients
West Holt Memorial Hospital CurrentSince Jul 1, 2018 Accepting new patients
West Holt Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

406 W Neely St
Atkinson, NE 68713
Phone (402) 925-2811

1700 Market Ln
Ste 410
Norfolk, NE 68701
Phone (402) 370-9515

701 Pinnacle Dr
Ste 107
Papillion, NE 68046
Phone (402) 370-8228

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wstholt-d1685583

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1376503391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680100007",
            "telephone_number": "402-370-9515",
            "fax_number": "402-227-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643670",
            "telephone_number": "402-370-9515",
            "fax_number": "402-227-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "DEMETRIO",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "75023",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "27722",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NE",
            "license": "27722",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "27722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "099588074",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.