Ricardo Manuel Quezada, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

01073108A Issued in IN

Practice address

761 45TH Ave
Ste. 103
Munster, IN 46321-2893

Phone

(219) 922-3002

Fax

(219) 922-3003

NPI assigned

Aug 9, 2007

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ricardo Manuel Quezada Real Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
• Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ricardo Quezada Real MD PLLC

  • Infectious Disease Physician
  • Desoto, TX
  • NPI 1073084299
  Medicare reassignment NPD Authorized official
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine

  Medicare reassignment NPD
• South Dallas Infectious Diseases PLLC

  • Infectious Disease Physician
  • Arlington, TX
  • NPI 1609317262
  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)

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

• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
  • NPI 1508899204
  Care Compare affiliation

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1053502435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 45TH AVE",
            "address_2": "STE. 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212911",
            "telephone_number": "219-993-4246",
            "fax_number": "219-934-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 45TH AVE",
            "address_2": "STE. 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212893",
            "telephone_number": "219-922-3002",
            "fax_number": "219-922-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "RICARDO",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01073108A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "QUEZADA REAL",
            "middle_name": "MANUEL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jo Ann Marie Pupaloski, CRNA
• Owen Li Qi, M.D.
• Shuai Qin, MD
• Syeda F Quadri
• Damaris Quagrainie
• Quik Scripts of Munster LLC (Quik Scripts)
• Kelly Quinlan
• Andrea Elizabeth Quintos, ATC LAT
• Pamelanie Pacatang Radaza
• Kimberly Ann Raddatz

• Infectious Disease Physician in Munster, IN
• Providers in Munster, IN by specialty
• Infectious Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.

Verify at the official NPI Registry.