NPIMap

Individual provider Active NPI

David Quintana, MD

  • Diagnostic Radiology Physician
  • Williamsport, PA
National Provider Identifier
1023032737
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-066564-L Issued in PA
Practice address
700 High St
Williamsport, PA 17701-3100
Phone
(570) 322-1161
Fax
(570) 322-2030
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 MD-066564-L PA Primary

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3100

Mailing address

700 High St
Williamsport, PA 17701-3100
Phone (570) 322-1161

Other identifiers 1

IdentifierTypeStateIssuer
0018466070001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040129000567 PA Practitioner - Diagnostic Radiology 9830092642 Reassigns benefits to 1 organization
I20250326003279 FL Practitioner - Diagnostic Radiology 9830092642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Imaging Associates, Inc.Group PAC ID 3870482409, 8 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone (570) 326-8171

1112 Grampian Blvd
Williamsport, PA 17701-1909
Phone (570) 326-8355

1205 River Ave
Williamsport, PA 17701-3724
Phone (570) 320-7407

17726 Dangler Rd
Winter Garden, FL 34787-9782
Phone (570) 322-1161

900 Plaza Dr
Montoursville, PA 17754-2448
Phone (570) 601-8550

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316
  • Upmc Susquehanna Williamsport Inpatient rehabilitation facility, Williamsport, PA, CCN 39T045

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
85.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-066564-LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Imaging Associates, Inc. Diagnostic Radiology CurrentSince Jul 16, 2001 Accepting new patients
Radiology Associates of Mansfield, Inc Diagnostic Radiology Past Accepting new patients

Locations

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1112 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8355

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Organizations & group practices 2

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 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1023032737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-322-1161",
            "fax_number": "570-322-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-322-1161",
            "fax_number": "570-322-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD-066564-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018466070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.