Individual provider Active NPI

Marcus John Quint Jr., D.O.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1417691452
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
W0984 Issued in TX
Practice address
1831 S General McMullen Dr
San Antonio, TX 78226-1190
Phone
(210) 644-8520
Fax
(210) 644-8525
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X W0984 TX Primary

Addresses

Primary practice location

1831 S General McMullen Dr
San Antonio, TX 78226-1190

Mailing address

1831 S General McMullen Dr
San Antonio, TX 78226-1190
Phone (210) 644-8500

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-2274

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
I20250916004960 TX Practitioner - Pediatric Medicine 6002310729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

903 W Martin St
San Antonio, TX 78207-0903

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W0984TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Pediatrics CurrentSince Sep 3, 2025 Accepting new patients

Locations

1831 S General McMullen Dr
San Antonio, TX 78226
Phone (210) 434-1400

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: mquint765701@uhssa.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1417691452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S GENERAL MCMULLEN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782261190",
            "telephone_number": "210-644-8500",
            "fax_number": "210-644-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S GENERAL MCMULLEN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782261190",
            "telephone_number": "210-644-8520",
            "fax_number": "210-644-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINT",
        "first_name": "MARCUS",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "W0984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.