NPIMap

Individual provider Active NPI

Cesar Ian Aguirre, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1528367117
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME-120154 Issued in FL
Practice address
9889 Gate Pkwy N BLDG 200
Suite 201
Jacksonville, FL 32246-9228
Phone
(904) 645-6976
Fax
(904) 645-6978
NPI assigned
Mar 22, 2011
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME-120154 FL Primary

Addresses

Primary practice location

9889 Gate Pkwy N BLDG 200
Suite 201
Jacksonville, FL 32246-9228

Mailing address

9889 Gate Pkwy N BLDG 200
Suite 201
Jacksonville, FL 32246-9228
Phone (904) 645-6976

Other identifiers 1

IdentifierTypeStateIssuer
013211900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112001760 FL Practitioner - Family Practice 5597987248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

8075 Gate Pkwy W
Suite 202
Jacksonville, FL 32216-3685
Phone (904) 400-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-120154FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Nov 5, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 5, 2021 Accepting new patients
Memorial Neurosurgery Group LLC PastSince Sep 1, 2014 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

8075 Gate Pkwy W
Ste 202
Jacksonville, FL 32216
Phone (904) 400-6500

Interoperability endpoints

  • Direct secure messaging: cesar.aguirre.1@8967.direct.athenahealth.com
  • Direct secure messaging: cesar.aguirre@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 9

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1528367117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N BLDG 200",
            "address_2": "SUITE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469228",
            "telephone_number": "904-645-6976",
            "fax_number": "904-645-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N BLDG 200",
            "address_2": "SUITE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469228",
            "telephone_number": "904-645-6976",
            "fax_number": "904-645-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "CESAR",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME-120154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013211900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.