NPIMap

Individual provider Active NPI

Robert L Quarles, D.O.

  • General Practice Physician
  • Midlothian, VA
National Provider Identifier
1457386237
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0102050025 Issued in VA
Practice address
2621 Promenade Pkwy Ste 101
Midlothian, VA 23113-4905
Phone
(804) 897-3746
Fax
(804) 897-3748
NPI assigned
Jul 11, 2006
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102050025 VA Primary

Addresses

Primary practice location

2621 Promenade Pkwy Ste 101
Midlothian, VA 23113-4905

Mailing address

2621 Promenade Pkwy Ste 101
Midlothian, VA 23113-4905
Phone (804) 897-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000249 VA Practitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 2567648215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Osteopathic Manipulative Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2621 Promenade Pkwy
Suite 101
Midlothian, VA 23113-4905
Phone (804) 897-3746

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Medical, PLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

2621 Promenade Pkwy
Ste 101
Midlothian, VA 23113
Phone (804) 897-3746

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1457386237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134905",
            "telephone_number": "804-897-3746",
            "fax_number": "804-897-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 PROMENADE PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134905",
            "telephone_number": "804-897-3746",
            "fax_number": "804-897-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102050025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.