Individual provider Active NPI

Hugo F. Quevedo, PA-C

  • Physician Assistant
  • Covington, LA
National Provider Identifier
1023069085
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
340264 Issued in LA
Practice address
101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506
Phone
(859) 867-2100
Fax
(985) 871-1548
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09186 TX
Physician Assistant 363A00000X 0010-03001 NC
Physician Assistant 363A00000X PA9101747 FL
Medical Physician Assistant 363AM0700X PA9101747 FL
Surgical Physician Assistant 363AS0400X PA9101747 FL
Physician Assistant 363A00000X 340264 LA Primary

Addresses

Primary practice location

101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506

Mailing address

LCMC Health - Payor Enrollments
1100 Poydras St., Ste. 2500
New Orleans, LA 70163-2500
Phone (504) 527-9953

Other practice location 1

3500 Hillcrest Dr
Ste 1
Waco, TX 76708
Phone (888) 624-6882

Other practice location 2

8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840

Other practice location 3

3500 Hillcrest Dr
Ste 1
Waco, TX 76708-3157
Phone (888) 624-6882

Other identifiers 5

IdentifierTypeStateIssuer
341839406MedicaidTX
647908OtherTXMEDICARE
6L3985OtherLAMEDICARE
P02028479OtherTXMEDICARE RAIL ROAD
8102414MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141015000723 TX Practitioner - Physician Assistant 6204845365 Reassigns benefits to 5 organizations
I20210929002171 IL Practitioner - Physician Assistant 6204845365 Reassigns benefits to 2 organizations
I20250211001289 NM Practitioner - Physician Assistant 6204845365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101747FLMDPhysician Assistant
340264LAMDPhysician Assistant
0010-03001NCMDPhysician Assistant
PA09186TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 14, 2018 Accepting new patients
C H Wilkinson Physician Network Physician Assistant CurrentSince Jun 20, 2017 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Jun 1, 2016 Accepting new patients
C H Wilkinson Physician Network CurrentSince Jun 20, 2017 Accepting new patients
Doctx3 PLLC CurrentSince Nov 30, 2020 Accepting new patients
Otero County Hospital Association CurrentSince Nov 18, 2024 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 24, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 14, 2018 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
Trauma Physicians Service Inc PastSince Mar 29, 2004 Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Carolina Mountain Emergency Medicine PA Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients

Locations

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

8591 S Broadway Ave
Tyler, TX 75703
Phone (903) 596-9173

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: hquevedo155904@christushealth.direct-ci.net
  • Direct secure messaging: hugo.quevedo.1@6965.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1023069085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LCMC HEALTH - PAYOR ENROLLMENTS",
            "address_2": "1100 POYDRAS ST., STE. 2500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701632500",
            "telephone_number": "504-527-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 300",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "859-867-2100",
            "fax_number": "985-871-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Hillcrest Dr",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76708",
            "country_code": "US",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8591 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035470",
            "country_code": "US",
            "telephone_number": "903-606-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Hillcrest Dr",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083157",
            "country_code": "US",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEVEDO",
        "first_name": "HUGO",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101747",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101747",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101747",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "340264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341839406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "647908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6L3985",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02028479",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102414",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.