Active NPI
Caden Quintanilla
- Pulmonary Disease Physician
- Omaha, NE
National Provider Identifier
1306586342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 10165
- Practice address
- 982465 Nebraska Medical Center
Omaha, NE 68198-2465 - Phone
- (402) 559-4166
- NPI assigned
- Mar 29, 2022
- Last updated
- Jun 22, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | 10165 | NE | Primary |
Addresses
Primary practice location
982465 Nebraska Medical Center
Omaha, NE 68198-2465
Mailing address
982465 Nebraska Medical Center
Omaha, NE 68198-2465
Phone (402) 559-4166
Other practice location 1
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (605) 212-4652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228002896 | WI | Order and Referring Only - Internal Medicine | 0143670422 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10165 | NE | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1306586342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982465 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681982465",
"telephone_number": "402-559-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982465 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681982465",
"telephone_number": "402-559-4166"
}
],
"practiceLocations": [
{
"address_1": "30 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011915",
"country_code": "US",
"telephone_number": "605-212-4652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "CADEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "10165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.