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EDUARDO SANMIGUEL MD
NPI 1639176829
Emergency Medicine in Wilmington, NC

Active since July 01, 2005PECOS Enrolled
98.33/100
CMS Quality Rating
4402 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 452-1400(910) 332-1072 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eduardo Sanmiguel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARDO SANMIGUEL MD (NPI 1639176829) is an individual emergency medicine provider in Wilmington, North Carolina, licensed in North Carolina (9900341) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639176829
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameEDUARDO SANMIGUELCredential: MD
Location Address4402 SHIPYARD BLVDWilmington, NC 28403-6161
Mailing Address401 N Main StKenansville, NC 28349-8801 · (910) 296-2774 · Fax (910) 296-2771
Phone(910) 452-1400
Fax(910) 332-1072
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1639176829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 9900341
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4402 SHIPYARD BLVD, Wilmington, NC 28403
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Other Identifiers 7

Medicaid891191TNC
OtherB4557NC · Medcost
Other930077044NC · Railroad Medicare
MedicaidQ00345SC
Other1191TNC · Bcbs
Other01-28699NC · United Healthcare
Other930084657Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eduardo Sanmiguel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON JOSEPH PARKER MD
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 202-3363
RYA ELISABETH LAWRENCE PA-C
Physician Assistant
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 791-0075
ECEP II, PA
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 202-3363
WILLIAM EDISON RIGSBEE PA
Physician Assistant
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
RUSSELL ANTHONY INCATASCIATO D.O.
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
KEVIN JOHN REESE MD
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
JAMES ARTHUR HELM PA-C
Physician Assistant (Medical)
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400
MICHAEL ROBERT OTT DO
Emergency Medicine
4402 SHIPYARD BLVD
WILMINGTON, NC 28403
New Hanover County (910) 452-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Sanmiguel's NPI number?

The NPI number for Eduardo Sanmiguel is 1639176829. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Eduardo Sanmiguel located?

Eduardo Sanmiguel practices at 4402 Shipyard Blvd, Wilmington, NC 28403. The listed phone number is (910) 452-1400.

What is Eduardo Sanmiguel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eduardo Sanmiguel enrolled in Medicare?

Yes. Eduardo Sanmiguel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eduardo Sanmiguel was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.