Individual provider Active NPI

Don C Quast, M.D., P.A.

  • Specialist
  • Houston, TX
National Provider Identifier
1639164114
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C7097 Issued in TX
Practice address
1213 Hermann Dr
Ste 560
Houston, TX 77004-7018
Phone
(713) 521-0017
Fax
(713) 521-0240
NPI assigned
Sep 12, 2005
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C7097 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Ste 560
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
Ste 560
Houston, TX 77004-7018
Phone (713) 521-0017

Other identifiers 3

IdentifierTypeStateIssuer
000000B479OtherTXBC/BS
032093902MedicaidTX
0320939-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Y. Su M.D., P.a. PastSince Jan 24, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1639164114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-521-0017",
            "fax_number": "713-521-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-521-0017",
            "fax_number": "713-521-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAST",
        "first_name": "DON",
        "middle_name": "C",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "C7097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000B479",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032093902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320939-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.