Individual provider Active NPI

Yarini Quezada, M.D.

  • Obstetrics Physician
  • Philadelphia, PA
National Provider Identifier
1083875652
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD479505 Issued in PA
Practice address
5401 Old York Rd BLDG Suite410
Philadelphia, PA 19141-3030
Phone
(215) 456-6990
Fax
(215) 456-6967
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT193614 PA
Obstetrics Physician 207VX0000X 15969 NV
Obstetrics Physician 207VX0000X MD479505 PA Primary

Addresses

Primary practice location

5401 Old York Rd BLDG Suite410
Philadelphia, PA 19141-3030

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

9260 W Sunset Rd
Ste. 200
Las Vegas, NV 89148-4858
Phone (702) 255-3547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150914002726 NV Practitioner - Obstetrics/Gynecology 3779890330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 220
Las Vegas, NV 89102-2353
Phone (702) 671-6412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193614PAMDObstetrics & Gynecology Physician
15969NVMDObstetrics Physician
MD479505PAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 4, 2022 Accepting new patients
Unlv Medicine CurrentSince Sep 22, 2022 Accepting new patients
Unlv Medicine CurrentSince Sep 22, 2022 Accepting new patients
Unlv Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Jan 4, 2022 Accepting new patients
Albert Einstein Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

2724 N Tenaya Way
#2
Las Vegas, NV 89128

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

9260 W Sunset Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 534-5464

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

2880 N Tenaya Way
Fl 3
Las Vegas, NV 89128
Phone (702) 427-9587

3196 S Maryland Pkwy
Ste 303
Las Vegas, NV 89109
Phone (702) 383-2919

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: yquezada115962@direct.umcsn.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1083875652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD BLDG SUITE410",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-6990",
            "fax_number": "215-456-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9260 W Sunset Rd",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484858",
            "country_code": "US",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "YARINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT193614",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NV",
            "license": "15969",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD479505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.