Active NPI
Miguel Chuquilin, M.D.
- Vascular Neurology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- ME126640
- Practice address
- 1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640 - Phone
- (850) 431-5001
- NPI assigned
- Jun 30, 2006
- Last updated
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME126640 | FL | |
| Neurology Physician | 2084N0400X | 2006012222 | MO | |
| Vascular Neurology Physician | 2084V0102X | ME126640 | FL | Primary |
Addresses
Primary practice location
1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640
Mailing address
1607 Saint James CT Ste 1
Tallahassee, FL 32308-5352
Phone (850) 431-7021
Other practice location 1
2000 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-8408
Other practice location 2
1101 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018486700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2473 Care Dr
Suite 102
Tallahassee, FL 32308-9815
Phone (850) 431-5001
5103 Cold Harbor Dr
Tallahassee, FL 32312-4148
Phone (850) 270-2159
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126640 | FL | MD | Neurology Physician |
| 2006012222 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
Locations
1401 Centerville Rd
Ste 504
Tallahassee, FL 32308
Phone (850) 431-5001
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
2473 Care Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 320-6054
Interoperability endpoints
- mchuquilin22046@tallahasseememorial.direct-ci.com
- miguelchuquilin@tmhpp.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1487932422
-
dba TMHPP Anesthesiology PCB
- Anesthesiology Physician
- Panama City Beach, FL
- NPI 1992532477
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Neurology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1982633251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 SAINT JAMES CT STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085352",
"telephone_number": "850-431-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD STE 504",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084640",
"telephone_number": "850-431-5001"
}
],
"practiceLocations": [
{
"address_1": "2000 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "32608",
"country_code": "US",
"telephone_number": "352-265-8408",
"fax_number": "352-627-4175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652120001",
"country_code": "US",
"telephone_number": "573-882-1515",
"fax_number": "573-884-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUQUILIN",
"first_name": "MIGUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME126640",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2006012222",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "FL",
"license": "ME126640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018486700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.