Individual provider Active NPI

Ryan P. O'Quinn, M.D.

  • MOHS-Micrographic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1205881281
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
L5077 Issued in TX
Practice address
2632 Broadway St Ste 300
San Antonio, TX 78215-1137
Phone
(210) 558-6234
Fax
(210) 446-5039
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X L5077 TX Primary

Addresses

Primary practice location

2632 Broadway St Ste 300
San Antonio, TX 78215-1137

Mailing address

2632 Broadway St Ste 300
San Antonio, TX 78215-1137
Phone (210) 558-6234

Other practice location 1

813 Paris St
Castroville, TX 78009-3857
Phone (210) 558-6234

Other practice location 2

9238 Floyd Curl Dr
Suite 101
San Antonio, TX 78240-1690
Phone (210) 558-6234

Other identifiers 1

IdentifierTypeStateIssuer
154605301MedicaidTX

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
I20080801000256 TX Practitioner - Dermatology 8022182567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Skin Cancer Center LLCGroup PAC ID 4486906229, 2 clinicians

Practice addresses (Care Compare)

9238 Floyd Curl Dr
Suite 101
San Antonio, TX 78240-1691
Phone (210) 558-6234

Merit-based Incentive Payment System (MIPS)

Final score
93.22 of 100Reported as group
Quality
86.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision226
Removal of tissue1-10
Removal of skin lesions919
Removal of skin cancer1042
Removal or shaving of skin growth22
Skin biopsy326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan O'Quinn MD Mohs-Micrographic Surgery CurrentSince Jan 1, 1990 Accepting new patients
South Texas Skin Cancer Center LLC Mohs-Micrographic Surgery CurrentSince Sep 1, 2018 Accepting new patients
South Texas Ambulatory Surgery Center, LLC Current Accepting new patients

Locations

813 Paris St
Castroville, TX 78009
Phone (210) 558-6234

2632 Broadway St
Ste 300
San Antonio, TX 78215
Phone (210) 558-6234

9238 Floyd Curl Dr
Ste 101
San Antonio, TX 78240
Phone (210) 558-6234

2632 Broadway St
Ste 300S
San Antonio, TX 78215
Phone (210) 558-6234

Interoperability endpoints

  • Direct secure messaging: roquinn@stxsc.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1205881281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151137",
            "telephone_number": "210-558-6234",
            "fax_number": "210-446-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151137",
            "telephone_number": "210-558-6234",
            "fax_number": "210-446-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Paris St",
            "address_purpose": "LOCATION",
            "city": "Castroville",
            "state": "TX",
            "postal_code": "780093857",
            "country_code": "US",
            "telephone_number": "210-558-6234",
            "fax_number": "210-446-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9238 Floyd Curl Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401690",
            "country_code": "US",
            "telephone_number": "210-558-6234",
            "fax_number": "210-615-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "RYAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L5077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154605301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.