Active NPI
Hugo F. Quevedo, PA-C
- Physician Assistant
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 340264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341839406 | Medicaid | TX | |
| 647908 | Other | TX | MEDICARE |
| 6L3985 | Other | LA | MEDICARE |
| P02028479 | Other | TX | MEDICARE RAIL ROAD |
| 8102414 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101747 | FL | MD | Physician Assistant |
| 340264 | LA | MD | Physician Assistant |
| 0010-03001 | NC | MD | Physician Assistant |
| PA09186 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Physician Assistant | Current | Accepting new patients |
| Ut Physicians | Physician Assistant | Current | Accepting new patients |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Doctx3 PLLC | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients | |
| Trauma Physicians Service Inc | Past | 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
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- hquevedo155904@christushealth.direct-ci.net
- 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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Physician Assistant
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1467808618
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
IL
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.