Individual provider Active NPI

Lourdes Xiomara Aguilo Rodriguez, M.D.

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1861804056
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2015036883 Issued in MO
Practice address
1130 E 32ND St
Joplin, MO 64804-4034
Phone
(417) 347-2273
Fax
(417) 347-2277
NPI assigned
May 22, 2014
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2015036883 MO Primary
Family Medicine Physician 207Q00000X 29957 WV

Addresses

Primary practice location

1130 E 32ND St
Joplin, MO 64804-4034

Mailing address

PO Box 607
Webb City, MO 64870-0607
Phone (787) 247-7420

Other practice location 1

1000 1st St N
Alabaster, AL 35007-8703
Phone (205) 620-8100

Other practice location 2

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Other practice location 3

#410 Ave Hostos
Carr #2, Bo Sabalos
Mayaguez, PR 00680
Phone (787) 652-9200 ext. 72565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, AL, WV, MO, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160610000514 PR Practitioner - General Practice 8022308618 Reassigns benefits to 1 organization
I20190812001769 AL Practitioner - Emergency Medicine 8022308618 Reassigns benefits to 1 organization
I20201013001647 WV Practitioner - Family Practice 8022308618 Reassigns benefits to 1 organization
I20210326000437 MO Practitioner - Emergency Medicine 8022308618 Reassigns benefits to 1 organization
I20220628002947 TX Practitioner - Family Practice 8022308618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ponce School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

1130 E 32ND St
Urgent Care
Joplin, MO 64804-4002
Phone (417) 347-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29957WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jul 26, 2022 Accepting new patients
Freeman-Oak Hill Health System Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Mar 14, 2016 Accepting new patients
JMH Emergency Physicians Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Mar 14, 2016 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Apr 5, 2021 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

1130 E 32nd St
Ste F
Joplin, MO 64804
Phone (417) 347-7400

1636 S Madison St
Webb City, MO 64870
Phone (417) 347-2273

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: lrodriguez219095@direct.wvuhsdirect.com

Organizations & group practices 8

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1861804056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648700607",
            "telephone_number": "787-247-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044034",
            "telephone_number": "417-347-2273",
            "fax_number": "417-347-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 1st St N",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078703",
            "country_code": "US",
            "telephone_number": "205-620-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111303",
            "country_code": "US",
            "telephone_number": "205-783-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "#410 Ave Hostos",
            "address_2": "Carr #2, Bo Sabalos",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-652-9200 x72565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILO RODRIGUEZ",
        "first_name": "LOURDES",
        "middle_name": "XIOMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2015036883",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "29957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.