Organization Active NPI

Jose a. Quiros MD PA

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1639323710
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D29256 Issued in MD
Legal business name
JOSE A. QUIROS MD PA
Practice address
4343 Montgomery Ave
Bethesda, MD 20814-4416
Phone
(301) 657-3040
Fax
(301) 718-0459
NPI assigned
Nov 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Jose A Quiros, M.D.NPI 1902874357
Title
President
Phone
(301) 657-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D29256 MD Primary

Addresses

Primary practice location

4343 Montgomery Ave
Bethesda, MD 20814-4416

Mailing address

4343 Montgomery Ave
Bethesda, MD 20814-4416
Phone (301) 657-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000501 DC Part B Supplier - Clinic/Group Practice 3375603251 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0888786Jose a Quiros MD4343 Montgomery Ave, Bethesda, MD 20814Certificate of waiverJul 13, 2026

National Provider Directory

National Provider Directory

Locations

4343 Montgomery Ave
Bethesda, MD 20814
Phone (301) 657-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1639323710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 MONTGOMERY AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144416",
            "telephone_number": "301-657-3040",
            "fax_number": "301-718-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 MONTGOMERY AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144416",
            "telephone_number": "301-657-3040",
            "fax_number": "301-718-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. QUIROS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "QUIROS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-657-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D29256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.