Mark V. Queralt, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J4456 Issued in TX

Practice address

3724 Executive Center Dr
Suite G-10
Austin, TX 78731-1646

Phone

(512) 345-5925

Fax

(512) 343-7113

NPI assigned

Aug 10, 2006

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

University of Texas Southwestern Medical School at Dallas, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

University of Texas at Austin Dell Medical SchoolGroup PAC ID 7113401340, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David's Medical Center Hospital, Austin, TX, CCN 450431

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.queralt.1@16041.direct.athenahealth.com

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.

• University of Texas at Austin Dell Medical School

  dba UT Health Austin

  • General Practice Physician
  • Austin, TX
  • NPI 1073066239
  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1780218305
  NPD

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

• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1437160934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "SUITE G-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-345-5925",
            "fax_number": "512-343-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "SUITE G-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-345-5925",
            "fax_number": "512-343-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERALT",
        "first_name": "MARK",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4456",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "J4456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036787202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CV460",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036787203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Namrah Quazi
• Samian Hassan Quazi, PMHNP
• Qubrix LLC
• Patrick J Quealy, CRNA
• John A Queng, MD
• Yvonne Queralt, M.D.
• Jeanne Marie Quereau, MA, LPC
• Quest Diagnostics Clinical Laboratories Inc
• Questcare Intensivists PLLC
• Connie Quezada, L.AC

• Physical Medicine & Rehabilitation Physician in Austin, TX
• Providers in Austin, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.