Active NPI
Virginia A Aguilar-Sincaban, MD
- Psychiatry Physician
- Madison, WI
National Provider Identifier
1730172081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096609656 | Medicaid | NE | |
| 04304 | Other | NE | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16152-020 | WI | MD | Specialist |
| 16152 | WI | MD | Psychiatry 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.