Miguel Angel Paniagua, M.D./M.P.H.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036046269 Issued in IL

Practice address

12414 Lusher Rd
Saint Louis, MO 63138-1456

Phone

(314) 741-2500

Fax

(314) 741-0880

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Dr. Miguel Angel Paniagua Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: miguel.paniagua.p30@direct.fhn-fqhc.nextgenshare.com

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.

• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bridgeton, MO
  • NPI 1285004598
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1699856443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 FOUNTAINHEAD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631383339",
            "telephone_number": "314-355-3873",
            "fax_number": "314-355-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381456",
            "telephone_number": "314-741-2500",
            "fax_number": "314-741-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIAGUA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D./M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036046269",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R4B44",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PANIAGUA MEDICAL LTD",
            "identifier": "370983349",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMO",
            "identifier": "192033",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "125391",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5709126",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE",
            "identifier": "D04066",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIGUEL",
            "last_name": "PANIAGUA",
            "middle_name": "ANGEL",
            "prefix": "DR.",
            "credential": "M.D./ M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenna Paneitz
• Alan W Pang, D.M.D.
• Joseph Pangelinan
• Paniagua Medical LTD
• Johanna Maria Paniagua, P.T.
• Bisini Panicker, DO
• Eleanor Elizabeth Panicola, LMSW
• Randal C Paniello, MD
• Hess Amir Panjeton, MD
• Theresa Panka, ATC

• Cardiovascular Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.