Individual provider Active NPI

Mario Joseph Quesada, M.D.

  • Orthopaedic Surgery Physician
  • Brownsville, TX
National Provider Identifier
1003018086
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q1711 Issued in TX
Practice address
1203 E Alton Gloor Blvd
Brownsville, TX 78526-0004
Phone
(956) 544-2663
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X MD200497 LA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 13888 NV
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X Q1711 TX
Orthopaedic Surgery Physician 207X00000X Q1711 TX Primary

Addresses

Primary practice location

1203 E Alton Gloor Blvd
Brownsville, TX 78526-0004

Mailing address

1203E Alton Gloor Blvd
Brownsville, TX 78526-3831
Phone (956) 544-2663

Other identifiers 1

IdentifierTypeStateIssuer
1237710MedicaidLA

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
I20150720002702 TX Practitioner - Orthopedic Surgery 9931285897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Orthopedic Institute of Rio Grande Valley PAGroup PAC ID 0042523011, 2 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Phone (956) 350-7000

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5557

1203 E Alton Gloor Blvd
Brownsville, TX 78526-0004
Phone (956) 544-2663

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (956) 365-1000

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement26
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13888NVMDPharmacist
MD200497LAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 14, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 14, 2024 Accepting new patients
Orthopedic Institute of Rio Grande Valley PA Orthopaedic Surgery CurrentSince May 21, 2015 Accepting new patients
Inulinic Orthopaedic Surgery Current Accepting new patients
Black Mountain Orthopaedics Assc LLP Orthopaedic Surgery Past Accepting new patients

Locations

1203 E Alton Gloor Blvd
Ste B
Brownsville, TX 78526

1203 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 544-2663

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: drmarioquesada@oiorgvp-tx.direct.office.nextgen.com
  • Direct secure messaging: robert.j.wilson.jr.1@11932.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11932/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mario.quesada.1@11932.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1003018086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263831",
            "telephone_number": "956-544-2663",
            "fax_number": "956-542-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785260004",
            "telephone_number": "956-544-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESADA",
        "first_name": "MARIO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "MD200497",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NV",
            "license": "13888",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1711",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1237710",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.