Active NPI
Miguel Agustin Pardinas Gutierrez, MD
- Pulmonary Disease Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036151251
- Practice address
- 1025 Maine St
Quincy, IL 62301-4096 - Phone
- (217) 222-6550
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036151251 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036151251 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036151251 | IL | Primary |
Addresses
Primary practice location
1025 Maine St
Quincy, IL 62301-4096
Mailing address
1025 Maine St
Quincy, IL 62301-4096
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-5215 ext. 3
Other practice location 2
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
500 Messenger Rd
Keokuk, IA 52632-2117
Phone (319) 524-5321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036151251 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Past | Accepting new patients |
Locations
500 Messenger Rd
Keokuk, IA 52632
Phone (319) 524-5321
1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
320 N Madison St
Pittsfield, IL 62363
Phone (217) 285-9601
1005 Broadway St
Quincy, IL 62301
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- mpardinasgutierrez748323@direct.unitypoint.org
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Quincy, IL
- NPI 1235656745
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Pharmacy
- Quincy, IL
- NPI 1417921560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1568876407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014096",
"telephone_number": "217-222-6550"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-5215 x3",
"fax_number": "305-585-8137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARDINAS GUTIERREZ",
"first_name": "MIGUEL",
"middle_name": "AGUSTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036151251",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036151251",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036151251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.