Active NPI
Ralph L Aquadro III, MD
- Plastic Surgery Physician
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 31455
- Practice address
- 1935 E. Glenn Ave.
Ste 102
Auburn, AL 36830 - Phone
- (334) 321-4989
- Fax
- (334) 501-2223
- NPI assigned
- Mar 7, 2007
- Last updated
- Jan 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 31455 | AL | Primary |
Addresses
Primary practice location
1935 E. Glenn Ave.
Ste 102
Auburn, AL 36830
Mailing address
1935 E. Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Plastic and Reconstructive Surgery
- Education
- University of South Alabama College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1935 E Glenn Ave
Suite 102
Auburn, AL 36830-5999
Phone (334) 321-4989
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31455 | AL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Alabama Plastic Surgery, LLC | Single Specialty | Current | Accepting new patients |
Locations
1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989
778 N Dean Rd
Ste 400
Auburn, AL 36830
Phone (334) 321-4989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDIIBA
- https://fhir4.healow.com/fhir/r4/JDIIBA/Endpoint/JDIIBA
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Auburn, AL
- NPI 1659634624
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1992835722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 E. GLENN AVE",
"address_2": "STE 102",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-321-4989",
"fax_number": "334-501-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 E. GLENN AVE.",
"address_2": "STE 102",
"city": "AUBURN",
"state": "AL",
"postal_code": "36830",
"telephone_number": "334-321-4989",
"fax_number": "334-501-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUADRO",
"first_name": "RALPH",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "AL",
"license": "31455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.