Individual provider Active NPI

Delia M Quisenberry, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1417964255
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8905 Issued in TX
Practice address
1001 2ND St
Corpus Christi, TX 78404-2303
Phone
(361) 442-0138
Fax
(361) 884-2919
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8905 TX Primary

Addresses

Primary practice location

1001 2ND St
Corpus Christi, TX 78404-2303

Mailing address

1001 2ND St
Corpus Christi, TX 78404-2303
Phone (361) 442-0138

Other identifiers 1

IdentifierTypeStateIssuer
171982502MedicaidTX

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
I20040617001741 TX Practitioner - Internal Medicine 5597749242 Practice locations: Corpus Christi, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8905TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihnonpar, Inc. Past Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aadi Home Health and HospiceCorpus Christi, TX, CCN 741643 Hospice Contracted Managing Employee (1%) Mar 20, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1417964255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 2ND ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042303",
            "telephone_number": "361-442-0138",
            "fax_number": "361-884-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 2ND ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042303",
            "telephone_number": "361-442-0138",
            "fax_number": "361-884-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISENBERRY",
        "first_name": "DELIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171982502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.