Individual provider Active NPI

Edward John Quinlan, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1053358978
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37263 Issued in AZ
Practice address
1101 E Missouri Ave
Phoenix, AZ 85014-2709
Phone
(602) 222-2221
Fax
(602) 266-2044
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 37263 AZ
Ophthalmology Physician 207W00000X 37263 AZ Primary

Addresses

Primary practice location

1101 E Missouri Ave
Phoenix, AZ 85014-2709

Mailing address

PO Box 32530
Phoenix, AZ 85064-2530
Phone (602) 265-2695

Other identifiers 1

IdentifierTypeStateIssuer
022305100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000757 AZ Practitioner - Ophthalmology 4082705793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinal Consultants of Arizona LTDGroup PAC ID 4688560204, 8 clinicians

Practice addresses (Care Compare)

1101 E Missouri Ave
Phoenix, AZ 85014-2709
Phone (800) 640-6442

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
89.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37263AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retinal Consultants of Arizona LTD Ophthalmology CurrentSince Sep 1, 2007 Accepting new patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients

Locations

401 S Calvary Way
Ste D
Cottonwood, AZ 86326
Phone (602) 613-5473

13555 W McDowell Rd
Ste 102
Goodyear, AZ 85395
Phone (623) 200-0020

2580 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 932-2020

13943 N 91st Ave
Ste D101
Peoria, AZ 85381

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

15401 N 29th Ave
Phoenix, AZ 85053
Phone (602) 583-2020

5110 E Warner Rd
Ste 139
Phoenix, AZ 85044

1101 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 222-2221

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2530 W State Route 89A
Sedona, AZ 86336

2155 W State Route 89A
Ste 105
Sedona, AZ 86336
Phone (928) 203-9600

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

Interoperability endpoints

  • Direct secure messaging: edward.quinlan@direct.avp.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1053358978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32530",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642530",
            "telephone_number": "602-265-2695",
            "fax_number": "602-265-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142709",
            "telephone_number": "602-222-2221",
            "fax_number": "602-266-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "37263",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "37263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022305100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.