Individual provider Active NPI

Guillermo A Quiceno, M.D.

  • Rheumatology Physician
  • Dallas, TX
National Provider Identifier
1487621330
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
L2571 Issued in TX
Practice address
5323 Harry Hines Blvd.
Dallas, TX 75390-7201
Phone
(214) 645-2800
Fax
(214) 645-2808
NPI assigned
Feb 28, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2571 TX
Rheumatology Physician 207RR0500X L2571 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd.
Dallas, TX 75390-7201

Mailing address

P.O. Box 845347
Dallas, TX 75284-5347
Phone (214) 645-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070202000289 TX Practitioner - RheumatologyPractitioner - Internal Medicine 2668474701 Reassigns benefits to 1 organization
I20240516003083 TN Practitioner - Rheumatology 2668474701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite 127
Knoxville, TN 37920-1522
Phone (865) 305-8787

1932 Alcoa Hwy
Suite C 550
Knoxville, TN 37920-1527
Phone (865) 546-6554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2571TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Apr 1, 2024 Accepting new patients
University of Tennessee CurrentSince Apr 1, 2024 Accepting new patients
University Health System Inc CurrentSince Apr 1, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2012 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
University Health System, Inc Rheumatology CurrentSince Apr 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University Health System, Inc Past Accepting new patients
University of Tennessee Past Accepting new patients
Southwest Arthritis Research Group PA Past Accepting new patients
Southwest Rheumatology PA Rheumatology Past Accepting new patients

Locations

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste 126
Knoxville, TN 37920
Phone (865) 546-6554

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1932 Alcoa Hwy
Ste 550
Knoxville, TN 37920
Phone (865) 546-6554

1932 Alcoa Hwy
Ste C550
Knoxville, TN 37920
Phone (865) 305-6543

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

8230 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6905

8230 Walnut Hill Ln
Ste 204
Dallas, TX 75231
Phone (214) 345-6000

8230 Walnut Hill Ln
Ste 614
Dallas, TX 75231
Phone (469) 916-0677

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 12

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1487621330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-2800",
            "fax_number": "214-645-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-645-2800",
            "fax_number": "214-645-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICENO",
        "first_name": "GUILLERMO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2571",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "L2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.