Active NPI
Karen Quintavell Radcliffe, M.D.
- Addiction Medicine (Family Medicine) Physician
- League City, TX
National Provider Identifier
1255535829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- P1391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3879138231 | Other | MYUTMB 3879138231-COMMERCIAL NUMBER |
Other names 1
- Dr. Karen Quintavell Loop/Descouteaux
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1391 | TX | MD | Addiction Medicine (Family Medicine) Physician |
| BP1-0026309 | TX | MD | Anatomic 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.