Danny J Aquilar, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Russellville, AR
NPI 1699778407 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1699778407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 141 (AR)
- Practice address
- 2400 W Main St
Russellville, AR 72801-2531 - Phone
- (479) 890-3668
- Fax
- (479) 890-9513
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2400 W Main St
Russellville, AR 72801-2531
Phone (479) 890-3668
Hospital & facility affiliations
- St Marys Regional Medical Center
- Johnson Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 67.17
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 53 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 83 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125000321 | AR | Practitioner - Podiatry | 5799709218 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141 | AR | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Foot Care Clinic, Inc | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
2400 W Main St
Russellville, AR 72801
Phone (479) 890-3668
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 141 | AR | Yes |
Addresses
Primary practice location
2400 W Main St
Russellville, AR 72801-2531
Mailing address
PO Box 2089
Russellville, AR 72811-2089
Phone (479) 890-3668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139839717 | Medicaid | AR | |
| 5375757 | Other | AR | AETNA INDIVIDUAL NUMBER |
| 5U232 | Other | AR | BCBS INDIVIDUAL NUMBER |
| 18514000000 | Other | AR | QUALCHOICE INDV. NUMBER |
| 7396535001 | Other | AR | CIGNA INDIVIDUAL NUMBER |
| 480030569 | Other | AR | RAILROAD MEDICARE NUMBER |
Other providers in Russellville, AR
- Randall Alan Anderson
- Edward L Andrada
- Katherine Angel
- Ana Isabel Angeles Arredondo
- Anne Keenan LCSW and Associates
- Wanda Arbaugh
- Arcare
- Arcare
- Area Agency on Aging of Western Ar, Inc
- Magally Lizeth Arellano
All providers in Russellville, AR · Foot & Ankle Surgery Podiatrist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.