Individual provider Active NPI

Kelly Renee Aguilar, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Spring, TX
National Provider Identifier
1932316395
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M8474 Issued in TX
Practice address
2255 E Mossy Oaks Rd
Spring, TX 77389-1768
Phone
(936) 266-2190
Fax
(936) 266-8580
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M8474 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M8474 TX Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd
Spring, TX 77389-1768

Mailing address

2255 E Mossy Oaks Rd
Spring, TX 77389-1768
Phone (936) 266-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080806000151 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 7517031776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

20207 Chasewood Park Dr
Houston, TX 77070-1442

2255 E Mossy Oaks Rd
Spring, TX 77389-1812

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8474TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
East Texas Clinical Services Inc Internal Medicine Past Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

2255 E Mossy Oaks Rd
Ste 320
Spring, TX 77389
Phone (832) 534-7860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: kaguilar55385@direct.stlukeshealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1932316395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891768",
            "telephone_number": "936-266-2190",
            "fax_number": "936-266-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891768",
            "telephone_number": "936-266-2190",
            "fax_number": "936-266-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8474",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M8474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.