Individual provider Active NPI

Miguel A Gomez Aguinaga, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fishersville, VA
National Provider Identifier
1427010800
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101263076 Issued in VA
Practice address
78 Medical Center Drive
Heart & Vascular Center, 2ND Floor
Fishersville, VA 22939
Phone
(540) 245-7380
Fax
(540) 245-7381
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X E1791 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101263076 VA Primary

Addresses

Primary practice location

78 Medical Center Drive
Heart & Vascular Center, 2ND Floor
Fishersville, VA 22939

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5162

Other practice location 1

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2808

Other identifiers 1

IdentifierTypeStateIssuer
143801001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170918002619 VA Practitioner - Thoracic Surgery 8426081662 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1791ARMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC CurrentSince Jun 15, 2022 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 1, 2022 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 1, 2022 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jun 15, 2022 Accepting new patients
Cooper Clinic PA Past Accepting new patients

Locations

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

319 Hospital Dr
Ste 102
Martinsville, VA 24112
Phone (276) 634-4976

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 6

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1427010800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5162",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DRIVE",
            "address_2": "HEART & VASCULAR CENTER, 2ND FLOOR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-245-7380",
            "fax_number": "540-245-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434802",
            "country_code": "US",
            "telephone_number": "501-278-2808",
            "fax_number": "501-278-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ AGUINAGA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AR",
            "license": "E1791",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101263076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143801001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.