Individual provider Active NPI

Megumi Maguchi Aldrete, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Pensacola, FL
National Provider Identifier
1417261991
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME111022 Issued in FL
Practice address
9013 University Pkwy
Suite G
Pensacola, FL 32514-9416
Phone
(850) 912-8020
Fax
(850) 912-8150
NPI assigned
Jul 27, 2010
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 246313 MA
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME111022 FL Primary

Addresses

Primary practice location

9013 University Pkwy
Suite G
Pensacola, FL 32514-9416

Mailing address

9013 University Pkwy
Suite G
Pensacola, FL 32514-9416
Phone (850) 912-8020

Other identifiers 3

IdentifierTypeStateIssuer
006478100MedicaidFL
14L17OtherFLBSBS OF FLORIDA
592-24332OtherALBCBS OF ALABAMA

Other names 1

  • Megumi Maguchi Aldrete Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120627000615 FL Practitioner - Geriatric MedicinePractitioner - Family Practice 2668659491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9013 University Pkwy
Suite G
Pensacola, FL 32514-9421
Phone (850) 912-8020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246313MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Geriatrics & Primary Care LLC Geriatric Medicine CurrentSince Aug 20, 2014 Accepting new patients
Crestview Hospital Company, LLC CurrentSince May 27, 2013 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Crestview Hospital Company LLC Family Medicine CurrentSince May 27, 2013 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

9013 University Pkwy
Ste G
Pensacola, FL 32514
Phone (850) 912-8020

9015 University Pkwy
Pensacola, FL 32514
Phone (850) 466-4324

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9275/brand/1/csg/1/fhir/r4
  • Direct secure messaging: megumi.maguchi.aldrete.1@9275.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1417261991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY",
            "address_2": "SUITE G",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-912-8020",
            "fax_number": "850-912-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY",
            "address_2": "SUITE G",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-912-8020",
            "fax_number": "850-912-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUCHI ALDRETE",
        "first_name": "MEGUMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "246313",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME111022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006478100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS OF FLORIDA",
            "identifier": "14L17",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "592-24332",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGUMI",
            "last_name": "MAGUCHI ALDRETE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.