Individual provider Active NPI

Maria E Quinones, M.D

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1164567434
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044164 Issued in CT
Practice address
1007 Farmington Ave Ste 3a
West Hartford, CT 06107-2107
Phone
(860) 570-4882
Fax
(860) 570-4885
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044164 CT Primary

Addresses

Primary practice location

1007 Farmington Ave Ste 3a
West Hartford, CT 06107-2107

Mailing address

46 Pocahontas Dr
West Hartford, CT 06117-1302
Phone (860) 803-5859

Other identifiers 1

IdentifierTypeStateIssuer
00144164MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070913000584 CT Practitioner - Internal Medicine 0941309223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

342 N Main St
Suite 310
West Hartford, CT 06117-2500
Phone (860) 570-4882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44164CTMDLicensed Practical Nurse
044164CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quinones Medical Group LLC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients

Locations

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

342 N Main St
Ste 310
West Hartford, CT 06117
Phone (860) 570-4882

1007 Farmington Ave
Ste 3A
West Hartford, CT 06107
Phone (860) 570-4882

Interoperability endpoints

  • Direct secure messaging: mquinones2387874@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1164567434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 POCAHONTAS DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171302",
            "telephone_number": "860-803-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 FARMINGTON AVE STE 3A",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072107",
            "telephone_number": "860-570-4882",
            "fax_number": "860-570-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00144164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.