Individual provider Active NPI

Virginia A Aguilar-Sincaban, MD

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1730172081
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16152 Issued in WI
Practice address
1902 Capital Ave
Madison, WI 53705-1215
Phone
(608) 230-6168
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16152-020 WI
Psychiatry Physician 2084P0800X 16152 WI Primary

Addresses

Primary practice location

1902 Capital Ave
Madison, WI 53705-1215

Mailing address

1902 Capital Ave
Madison, WI 53705-1215
Phone (608) 230-6168

Other identifiers 2

IdentifierTypeStateIssuer
096609656MedicaidNE
04304OtherNEBLUE CROSS BLUE SHIELD NE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16152-020WIMDSpecialist
16152WIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1730172081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 CAPITAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051215",
            "telephone_number": "608-230-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 CAPITAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051215",
            "telephone_number": "608-230-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR-SINCABAN",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "16152-020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "16152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096609656",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "04304",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.