Individual provider Active NPI

Joanna Rodriguez Quinquilla, MD

  • General Practice Physician
  • Richmond, TX
National Provider Identifier
1063669919
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P8182 Issued in TX
Practice address
400 Austin St
Richmond, TX 77469-4406
Phone
(281) 342-4530
Fax
(281) 341-2920
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17190 PR
General Practice Physician 208D00000X P8182 TX Primary

Addresses

Primary practice location

400 Austin St
Richmond, TX 77469-4406

Mailing address

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000760 TX Practitioner - General Practice 5991005662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Bend Family Health Center IncGroup PAC ID 7113999780, 18 clinicians

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Hospital & facility affiliations

  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17190PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc CurrentSince Oct 1, 2015 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: joanna.rodriguezquinquilla@direct.accesshealth.nextgenshare.com
  • Direct secure messaging: joanna.rodriguez@accesshealth.directbygreenway.com

Organizations & group practices 3

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.

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1063669919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530",
            "fax_number": "281-341-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530",
            "fax_number": "281-341-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ QUINQUILLA",
        "first_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17190",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P8182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.