Active NPI
Luis Horacio Quiroga, MD
- Plastic Surgery Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 35505
- Practice address
- 527 Medical Park Dr Ste 203
Bridgeport, WV 26330-9009 - Phone
- (681) 342-3190
- NPI assigned
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 481008 | PA | |
| Plastic Surgery Physician | 208200000X | 35505 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr Ste 203
Bridgeport, WV 26330-9009
Mailing address
527 Medical Park Dr Ste 203
Bridgeport, WV 26330-9009
Phone (681) 342-3190
Other practice location 1
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250913000155 | WV | Practitioner - Plastic and Reconstructive Surgery | 7911143946 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Hospital Center Inc
Practice addresses (Care Compare)
527 Medical Park Dr
Bridgeport, WV 26330-9009
Phone (681) 342-3190
Hospital & facility affiliations
- United Hospital Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481008 | PA | MD | Plastic Surgery Physician |
| 35505 | WV | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Plastic Surgery | Current | Accepting new patients |
| United Hospital Center | Past | Accepting new patients |
Locations
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
527 Medical Park Dr
Ste 203
Bridgeport, WV 26330
Phone (681) 342-3190
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
Interoperability endpoints
- lquiroga1132708@direct.sw.org
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.
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Plastic Surgery, WV
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- Skilled Nursing Facility
- Bridgeport, WV
- NPI 1972584290
-
- Rheumatology Physician
- Bridgeport, WV
- NPI 1780767772
Hospital & facility affiliations 1
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": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1013205731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 203",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309009",
"telephone_number": "681-342-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 203",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309009",
"telephone_number": "681-342-3190"
}
],
"practiceLocations": [
{
"address_1": "327 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309006",
"country_code": "US",
"telephone_number": "681-342-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIROGA",
"first_name": "LUIS",
"middle_name": "HORACIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "481008",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WV",
"license": "35505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.