NPIMap

Individual provider Active NPI

Jose Manuel Enrique Quesada-Olarte, MD

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1508500232
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
125.079266 Issued in IL
Practice address
1725 W Harrison St Ste 352
Chicago, IL 60612-3852
Phone
(312) 563-5000
NPI assigned
Apr 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125.079266 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 352
Chicago, IL 60612-3852

Mailing address

1725 W Harrison St Ste 352
Chicago, IL 60612-3852
Phone (813) 215-3740

Other practice location 1

1725 W Harrison St Ste 352
Chicago, IL 60612-3852
Phone (813) 215-3740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.m.quesadaolarte@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250312001783 PA Practitioner - Urology 2163807769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Cole Memorial HospitalGroup PAC ID 3779487475, 66 clinicians

Practice addresses (Care Compare)

1001 E 2ND St
Coudersport, PA 16915-8161

Hospital & facility affiliations

  • Upmc Cole Hospital, Coudersport, PA, CCN 391313
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial Hospital CurrentSince Jan 11, 2025 Accepting new patients
Charles Cole Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Charles Cole Memorial Hopstial Urology Past Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

1001 E 2nd St
Ste H
Coudersport, PA 16915

1001 E 2nd St
Ste G
Coudersport, PA 16915

Interoperability endpoints

  • Direct secure messaging: jquesadaolarte432262@upmc.direct-ci.com
  • Direct secure messaging: jquesadaolarte151081@uihealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1508500232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 352",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123852",
            "telephone_number": "813-215-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 352",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123852",
            "telephone_number": "312-563-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St Ste 352",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123852",
            "country_code": "US",
            "telephone_number": "813-215-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUESADA-OLARTE",
        "first_name": "JOSE",
        "middle_name": "MANUEL ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-08-15",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125.079266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.m.quesadaolarte@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.