Individual provider Active NPI

Danny J Aquilar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Russellville, AR
National Provider Identifier
1699778407
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
141 Issued in AR
Practice address
2400 W Main St
Russellville, AR 72801-2531
Phone
(479) 890-3668
Fax
(479) 890-9513
NPI assigned
May 24, 2005
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 141 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000321 AR Practitioner - Podiatry 5799709218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as individual
Quality
67.17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions18
Removal of nail tissue83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
141ARMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Foot Care Clinic, Inc Foot & Ankle Surgery CurrentSince Dec 26, 2000 Accepting new patients

Locations

2400 W Main St
Russellville, AR 72801
Phone (479) 890-3668

Organizations & group practices 1

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 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1699778407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728112089",
            "telephone_number": "479-890-3668",
            "fax_number": "479-890-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012531",
            "telephone_number": "479-890-3668",
            "fax_number": "479-890-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUILAR",
        "first_name": "DANNY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.