Individual provider Active NPI

Brian Gilbert Aguilar, MD

  • Pediatrics Physician
  • McCordsville, IN
National Provider Identifier
1598722787
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01061767A Issued in IN
Practice address
8535 N Clearview Dr Ste 700
McCordsville, IN 46055-6243
Phone
(317) 415-6450
NPI assigned
May 1, 2006
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01061767A IN Primary
Hospitalist Physician 208M00000X 01061767A IN

Addresses

Primary practice location

8535 N Clearview Dr Ste 700
McCordsville, IN 46055-6243

Mailing address

8535 N Clearview Dr Ste 700
McCordsville, IN 46055-6243

Other identifiers 1

IdentifierTypeStateIssuer
200814940MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.aguilar.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061003000341 IN Practitioner - Pediatric Medicine 1254336878 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061767AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Pediatrics CurrentSince Jul 8, 2013 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

310 Medical Dr
Ste 102
Carmel, IN 46032
Phone (317) 415-5960

13914 Southeastern Pkwy
Ste 108
Fishers, IN 46037
Phone (317) 415-9110

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

218 W 161st St
Ste A
Westfield, IN 46074
Phone (317) 582-9000

Interoperability endpoints

  • Direct secure messaging: brian.aguilar.1@7598.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1598722787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 N CLEARVIEW DR STE 700",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 N CLEARVIEW DR STE 700",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556243",
            "telephone_number": "317-415-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "BRIAN",
        "middle_name": "GILBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01061767A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01061767A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200814940",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.aguilar.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8535 N Clearview Dr Ste 700",
            "city": "McCordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460556243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

Verify at the official NPI Registry.