Individual provider Active NPI

Elias Rilloraza Quintos, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Port Charlotte, FL
National Provider Identifier
1306882550
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME55368 Issued in FL
Practice address
4130 Tamiami TRL
Suite 302
Port Charlotte, FL 33952-9207
Phone
(941) 206-0203
Fax
(941) 629-0503
NPI assigned
Jun 22, 2006
Last updated
Nov 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME55368 FL Primary

Addresses

Primary practice location

4130 Tamiami TRL
Suite 302
Port Charlotte, FL 33952-9207

Mailing address

4130 Tamiami TRL
Suite 302
Port Charlotte, FL 33952-9207
Phone (941) 206-0203

Other identifiers 2

IdentifierTypeStateIssuer
28034700MedicaidFL
01141919MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190201001006 KS Practitioner - Thoracic Surgery 7618050774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

501 S Santa Fe Ave
200 Salina Regional Podiatry
Salina, KS 67401-4189
Phone (785) 452-6211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Elias R Quintos MD PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 13, 2013 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jan 24, 2019 Accepting new patients
Salina Regional Health Center, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 24, 2019 Accepting new patients
Comcare, P.a Past Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients
Punta Gorda Hma Physician Management LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

4130 Tamiami Trl
Ste 302
Port Charlotte, FL 33952
Phone (941) 206-0202

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

501 S Santa Fe Ave
Ste 200
Salina, KS 67401
Phone (785) 452-7245

501 S Santa Fe Ave
Ste 380
Salina, KS 67401
Phone (785) 452-6492

Interoperability endpoints

  • Direct secure messaging: elias.quintos@srhcdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1306882550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 TAMIAMI TRL",
            "address_2": "SUITE 302",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529207",
            "telephone_number": "941-206-0203",
            "fax_number": "941-629-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 TAMIAMI TRL",
            "address_2": "SUITE 302",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529207",
            "telephone_number": "941-206-0203",
            "fax_number": "941-629-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTOS",
        "first_name": "ELIAS",
        "middle_name": "RILLORAZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME55368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28034700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01141919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.