NPIMap

Individual provider Active NPI

Nishant Michael De Quadros, M.D.

  • Diagnostic Radiology Physician
  • Columbus, GA
National Provider Identifier
1003027285
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301087927 Issued in MI
Practice address
710 Center St
The Medical Center
Columbus, GA 31901-2608
Phone
(706) 501-1000
NPI assigned
May 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301087927 MI Primary

Addresses

Primary practice location

710 Center St
The Medical Center
Columbus, GA 31901-2608

Mailing address

1701 Williams CT
Apt 1103
Columbus, GA 31904-3901
Phone (216) 374-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000231 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698930915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLC 381 clinicians

Practice addresses (Care Compare)

7141 Bridgemill Dr
Columbus, GA 31904-1384
Phone (404) 851-6577

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
  • Clinch Memorial Hospital Hospital, Homerville, GA, CCN 111308

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087927MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Sep 29, 2018 Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

2200 Vernon St
Lagrange, GA 30240

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

75 Remittance Dr
Dept 1013
Chicago, IL 60675

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

Organizations & group practices 4

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 5

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": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1003027285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WILLIAMS CT",
            "address_2": "APT 1103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043901",
            "telephone_number": "216-374-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "address_2": "THE MEDICAL CENTER",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012608",
            "telephone_number": "706-501-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE QUADROS",
        "first_name": "NISHANT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-27",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301087927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.