Individual provider Active NPI

Jose Bernardo Q. Quintos, M.D.

  • Pediatric Endocrinology Physician
  • Providence, RI
National Provider Identifier
1548248164
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD12262 Issued in RI
Practice address
1 Hoppin St
Coro West Suite 200
Providence, RI 02903-4141
Phone
(401) 444-5504
Fax
(401) 444-2534
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X MD12262 RI Primary

Addresses

Primary practice location

1 Hoppin St
Coro West Suite 200
Providence, RI 02903-4141

Mailing address

593 Eddy St
HCH 122
Providence, RI 02903-1177
Phone (401) 444-6195

Other identifiers 2

IdentifierTypeStateIssuer
12262OtherRISTATE LICENSE
1548248MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20070613000445 RI Practitioner - Pediatric Medicine 5991766750 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002126NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Oct 1, 2019 Accepting new patients
Rhode Island Hospital CurrentSince Oct 1, 2019 Accepting new patients
Lifespan Corporation Current Accepting new patients
Saint Peter's University Hospital Past Accepting new patients
University Physicians of Brooklyn, Inc. Pediatric Endocrinology Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471

1 Hoppin St
Ste 200
Providence, RI 02903
Phone (401) 444-5509

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

593 Eddy St
Providence, RI 02903

593 Eddy St
#122
Providence, RI 02903
Phone (401) 444-6195

111 Plain St
Fl 3
Providence, RI 02903
Phone (401) 444-3355

593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Interoperability endpoints

  • Direct secure messaging: jquintos12050@brownhealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1548248164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "HCH 122",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031177",
            "telephone_number": "401-444-6195",
            "fax_number": "401-444-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOPPIN ST",
            "address_2": "CORO WEST SUITE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034141",
            "telephone_number": "401-444-5504",
            "fax_number": "401-444-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTOS",
        "first_name": "JOSE BERNARDO",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "RI",
            "license": "MD12262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12262",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548248",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.