Individual provider Active NPI

Richard Aguilar, M.D.

  • Pediatrics Physician
  • Nampa, ID
National Provider Identifier
1932198967
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M6315 Issued in ID
Practice address
215 E Hawaii Ave
Nampa, ID 83686-6011
Phone
(208) 468-5930
Fax
(208) 463-3044
NPI assigned
Oct 21, 2005
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M6315 ID Primary

Addresses

Primary practice location

215 E Hawaii Ave
Nampa, ID 83686-6011

Mailing address

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3000

Other identifiers 7

IdentifierTypeStateIssuer
002362800MedicaidID
806352700OtherIDHEALTHY CONNECTIONS
000010002634OtherIDBLUE SHIELD
000010034806OtherIDBLUE SHIELD
45120OtherIDBLUE CROSS
D6326OtherIDBLUE CROSS
570002669OtherIDRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richard.aguilar@sal.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20100315000905 ID Practitioner - Pediatric Medicine 6901902162 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Pediatrics CurrentSince Apr 1, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Apr 1, 2015 Accepting new patients
Interpath Laboratory, Inc. PastSince Apr 1, 2015 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3277 E Louise Dr
Meridian, ID 83642
Phone (208) 381-7335

520 S Eagle Rd
Ste 2116
Meridian, ID 83642
Phone (208) 884-2999

1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234

4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960

Interoperability endpoints

  • Direct secure messaging: raguilar3235069@direct.trinity-health.org
  • Direct secure messaging: richard.aguilar@sal.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1932198967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-463-3000",
            "fax_number": "208-463-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-468-5930",
            "fax_number": "208-463-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M6315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002362800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CONNECTIONS",
            "identifier": "806352700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010002634",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010034806",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "45120",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "D6326",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "570002669",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.aguilar@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "215 E Hawaii Ave",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836866011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.