Active NPI
Michael Quintana
- Physician Assistant
- Horizon City, TX
National Provider Identifier
1023629656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16089
- Practice address
- 14470 Horizon Blvd
Horizon City, TX 79928-7695 - Phone
- (915) 852-3225
- NPI assigned
- Aug 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16089 | TX | Primary |
Addresses
Primary practice location
14470 Horizon Blvd
Horizon City, TX 79928-7695
Mailing address
11429 Fred Marti LN
El Paso, TX 79936-4707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10765 Kenworthy St
Suite a
El Paso, TX 79924-1748
Phone (915) 320-4021
1801 N Zaragoza Rd
El Paso, TX 79936-8042
Phone (915) 249-3106
7480 Paseo del Norte
El Paso, TX 79911-3200
Phone (915) 308-2060
7845 N Mesa St
Suite a
El Paso, TX 79932-1623
Phone (915) 206-4690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1417435827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1023629656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11429 FRED MARTI LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14470 HORIZON BLVD",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "799287695",
"telephone_number": "915-852-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horizon City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.