Individual provider Active NPI

Louis Aquino, DPM

  • Foot & Ankle Surgery Podiatrist
  • Maryville, IL
National Provider Identifier
1417944653
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
122 E Zupan St
Maryville, IL 62062-2010
Phone
(618) 344-4449
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X IL Primary

Addresses

Primary practice location

122 E Zupan St
Maryville, IL 62062-2010

Mailing address

PO Box 340
Maryville, IL 62062-0340
Phone (618) 344-4449

Other identifiers 3

IdentifierTypeStateIssuer
117421OtherMOHEALTHLINK
24827OtherMOBC/BS OF MISSOURI
2750074OtherILUHC MIDWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040517000974 MO Practitioner - Podiatry 2365334703 Reassigns benefits to 2 organizations
I20101217000484 IL Practitioner - Podiatry 2365334703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center LLCGroup PAC ID 9032180757, 3 clinicians
Foot Health Centers PCGroup PAC ID 2769472661, 4 clinicians

Practice addresses (Care Compare)

11066 Olive Blvd
Saint Louis, MO 63141-7615
Phone (314) 487-9300

12101 Woodcrest Executive Dr
Suite 101
Saint Louis, MO 63141-5047
Phone (317) 576-4500

122 E Zupan St
Maryville, IL 62062-2010
Phone (618) 344-4449

1299 Reavis Barracks Rd
Saint Louis, MO 63125-3260
Phone (314) 487-9300

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
54.52
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.56 of 100Reported as group
Quality
67.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of skin lesions21
Removal of nail tissue256
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000540MOMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Mar 1, 1989 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Jan 1, 1994 Accepting new patients
Foot Health Centers PC Foot & Ankle Surgery CurrentSince Aug 7, 1987 Accepting new patients
Foot & Ankle Center, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

122 E Zupan St
Maryville, IL 62062
Phone (618) 344-4449

509 Hamacher St
Ste 202
Waterloo, IL 62298
Phone (314) 997-1777

1299 Reavis Barracks Rd
Saint Louis, MO 63125
Phone (314) 487-9300

12101 Woodcrest Executive Dr
Ste 101
Saint Louis, MO 63141
Phone (314) 576-4500

Interoperability endpoints

  • Direct secure messaging: aquino.louis.002.0050435@tfh.meditab.direct-ci.com
  • Direct secure messaging: aquino.louis.009.0050435@tfh.meditab.direct-ci.com
  • Direct secure messaging: louis.aquino@fhcipc-il.direct.office.nextgen.com
  • Direct secure messaging: aquino.louis.003.0250008@tfac.meditab.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1417944653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620620340",
            "telephone_number": "618-344-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E ZUPAN ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620622010",
            "telephone_number": "618-344-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "LOUIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "117421",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MISSOURI",
            "identifier": "24827",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MIDWEST",
            "identifier": "2750074",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.