AGUSTIN AGUILAR JR. MD
NPI 1649252503
Emergency Medicine in Iowa City, IA

Q: What is Agustin Aguilar's NPI number?

The NPI number for Agustin Aguilar is 1649252503. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Agustin Aguilar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Agustin Aguilar was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since November 16, 2005PECOS Enrolled

200 HAWKINS DR, IOWA CITY, IA 52242(319) 353-6360(319) 384-9184 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Agustin Aguilar Jr. Md NPPES

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

AGUSTIN AGUILAR JR. MD (NPI 1649252503) is an individual emergency medicine provider in Iowa City, Iowa, licensed in Iowa (26545) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Liberty.

NPPES Registry Identity

NPI1649252503

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameAGUSTIN AGUILAR JR.Credential: MD

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 353-6360 · Fax (319) 384-9184

Phone(319) 353-6360

Fax(319) 384-9184

Sole ProprietorNo

Enumeration DateNovember 16, 2005

Last NPPES UpdateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1649252503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IA · 26545

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.

200 HAWKINS DR, Iowa City, IA 52242

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Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 384-6562 · Fax (319) 356-3949

Other Identifiers 1

Other25989IA · Wellmark Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agustin Aguilar Jr. 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.

Medicare Billing Reassignment

Medicare enrollment records show Agustin Aguilar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

Same address

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1114905387 (319) 356-2743

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

263 services258 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

117 services116 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

45 services45 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Agustin Aguilar's NPI number?

The NPI number for Agustin Aguilar is 1649252503. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Agustin Aguilar located?

Agustin Aguilar practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 353-6360.

What is Agustin Aguilar's specialty?

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

Is Agustin Aguilar enrolled in Medicare?

Yes. Agustin Aguilar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agustin Aguilar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agustin Aguilar reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Agustin Aguilar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agustin Aguilar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Agustin Aguilar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agustin Aguilar was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.