Active NPI
Megumi Maguchi Aldrete, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- ME111022
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006478100 | Medicaid | FL | |
| 14L17 | Other | FL | BSBS OF FLORIDA |
| 592-24332 | Other | AL | BCBS OF ALABAMA |
Other names 1
- Megumi Maguchi Aldrete
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 246313 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Geriatrics & Primary Care LLC | Geriatric Medicine | Current | Accepting new patients |
| Crestview Hospital Company, LLC | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Family Medicine | Current | Accepting new patients |
| Psgfl MSSP, LLC | Current | Accepting new patients | |
| Crestview Hospital Company LLC | Family Medicine | Current | 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
- https://api.platform.athenahealth.com/9275/brand/1/csg/1/fhir/r4
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Pensacola, FL
- NPI 1083027528
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Family Medicine
-
dba North Okaloosa Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Crestview, FL
- NPI 1457864357
-
- Multi-Specialty Clinic/Center
- Gulf Breeze, FL
- NPI 1689557936
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Critical Access Hospital
- Jay, FL
- NPI 1912918277
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- Home Health Agency
- Pensacola, FL
- NPI 1861782443
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.