NPIMap

Individual provider Active NPI

Fabio G Aglieco, DO

  • Nephrology Physician
  • West Columbia, TX
National Provider Identifier
1801031992
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N7986 Issued in TX
Practice address
513 S Columbia Dr
West Columbia, TX 77486-3025
Phone
(979) 345-6522
Fax
(979) 345-4922
NPI assigned
Dec 3, 2008
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N7986 TX
Nephrology Physician 207RN0300X N7986 TX Primary
Nephrology Physician 207RN0300X 046940 CT

Addresses

Primary practice location

513 S Columbia Dr
West Columbia, TX 77486-3025

Mailing address

PO Box 2660
Bay City, TX 77404-2660
Phone (979) 345-6522

Other identifiers 1

IdentifierTypeStateIssuer
281158001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faglieco15228@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000201 TX Practitioner - Internal MedicinePractitioner - Nephrology 4082750047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Leaders and Associates, PLLCGroup PAC ID 3476613886, 6 clinicians
Sweeny Medical ClinicGroup PAC ID 8729376512, 4 clinicians
Medical Leaders and Associates, PLLCGroup PAC ID 2365594983, 14 clinicians

Practice addresses (Care Compare)

200 Medical Ctr CT
Suite 100
Bay City, TX 77414-4733
Phone (979) 245-2421

208 N McKinney St
Suite 2
Sweeny, TX 77480-3404
Phone (979) 548-1035

513 S Columbia Dr
West Columbia, TX 77486-3025
Phone (979) 345-6522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7986TXMDInternal Medicine Physician
046940CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Leaders and Associates, PLLC Internal Medicine CurrentSince Jan 27, 2011 Accepting new patients
Sweeny Medical Clinic Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Nephrology Leaders and Associates, PLLC Nephrology CurrentSince Oct 4, 2010 Accepting new patients
Matagorda Family Practice, PLLC Current Accepting new patients
Lexington Health LLC PastSince Mar 19, 2014 Accepting new patients
Oakbend Medical Center Past Accepting new patients

Locations

146 E Hospital Dr
Angleton, TX 77515
Phone (979) 848-9111

146 E Hospital Dr
Ste 102
Angleton, TX 77515
Phone (713) 795-5155

200 Medical Center Ct
Ste 100
Bay City, TX 77414

405 This Way St
Lake Jackson, TX 77566
Phone (979) 297-2534

320 Main St
Palacios, TX 77465
Phone (361) 972-0095

208 N McKinney St
#2
Sweeny, TX 77480
Phone (979) 548-1035

208 N McKinney St
Ste 2
Sweeny, TX 77480
Phone (979) 548-6783

170 4th St S
#2
Van Vleck, TX 77482
Phone (979) 429-2011

170 4th St S
Ste 2
Van Vleck, TX 77482
Phone (979) 429-2011

513 S Columbia Dr
West Columbia, TX 77486
Phone (979) 345-6522

Interoperability endpoints

  • Direct secure messaging: faglieco15228@direct.acumenmd.com
  • Direct secure messaging: faglieco30232@direct.utmb.edu

Organizations & group practices 6

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 9

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1801031992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2660",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774042660",
            "telephone_number": "979-345-6522",
            "fax_number": "979-345-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S COLUMBIA DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774863025",
            "telephone_number": "979-345-6522",
            "fax_number": "979-345-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGLIECO",
        "first_name": "FABIO",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7986",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N7986",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "046940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281158001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faglieco15228@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "513 S Columbia Dr",
            "city": "West Columbia",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774863025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, TX

Sources for this page

Verify at the official NPI Registry.