Individual provider Active NPI

Douglas Edward Aguirre, MD

  • General Practice Physician
  • Hallandale Beach, FL
National Provider Identifier
1376516880
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME85167 Issued in FL
Practice address
2500 E Hallandale Beach Blvd Ste QR
Hallandale Beach, FL 33009-4834
Phone
(954) 505-5009
Fax
(954) 507-4486
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME85167 FL
General Practice Physician 208D00000X ME85167 FL Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste QR
Hallandale Beach, FL 33009-4834

Mailing address

2500 E Hallandale Beach Blvd Ste QR
Hallandale Beach, FL 33009-4834
Phone (954) 505-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160815001462 FL Practitioner - Anesthesiology 0244323616 Reassigns benefits to 3 organizations
I20241112001036 FL Practitioner - General Practice 0244323616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Reef Anesthesia IncGroup PAC ID 3375078108, 31 clinicians
Univida Hallandale Medical Center LLCGroup PAC ID 5193117307, 2 clinicians

Practice addresses (Care Compare)

10150 Hagen Ranch Rd
Suite 204
Boynton Beach, FL 33437-3776
Phone (561) 736-7792

2500 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4834
Phone (954) 505-5009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Univida Hallandale Medical Center LLC CurrentSince Sep 5, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
KND Development 59, LLC CurrentSince Mar 18, 2024 Accepting new patients
Agubello PA CurrentSince Jul 1, 2007 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Jul 5, 2016 Accepting new patients
KND Development 59 LLC CurrentSince Mar 18, 2024 Accepting new patients
Agubello PA Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology Past Accepting new patients

Locations

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

2500 E Hallandale Beach Blvd
Ste Q
Hallandale Beach, FL 33009
Phone (786) 564-6404

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

Organizations & group practices 10

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1376516880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE QR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-505-5009",
            "fax_number": "954-507-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE QR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-505-5009",
            "fax_number": "954-507-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME85167",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME85167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.