Individual provider Active NPI

Karen Quintavell Radcliffe, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • League City, TX
National Provider Identifier
1255535829
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
P1391 Issued in TX
Practice address
201 Enterprise Avenue
Suite 800
League City, TX 77573
Phone
(832) 848-0444
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X BP1-0026309 TX
Addiction Medicine (Family Medicine) Physician 207QA0401X P1391 TX Primary

Addresses

Primary practice location

201 Enterprise Avenue
Suite 800
League City, TX 77573

Mailing address

201 Enterprise Avenue
Suite 800
League City, TX 77573
Phone (832) 848-0444

Other identifiers 1

IdentifierTypeStateIssuer
3879138231OtherMYUTMB 3879138231-COMMERCIAL NUMBER

Other names 1

  • Dr. Karen Quintavell Loop/Descouteaux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1391TXMDAddiction Medicine (Family Medicine) Physician
BP1-0026309TXMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1255535829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVENUE",
            "address_2": "SUITE 800",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-848-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVENUE",
            "address_2": "SUITE 800",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-848-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "KAREN",
        "middle_name": "QUINTAVELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "BP1-0026309",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "P1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3879138231-COMMERCIAL NUMBER",
            "identifier": "3879138231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LOOP/DESCOUTEAUX",
            "middle_name": "QUINTAVELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.