Individual provider Active NPI

Marilyn Asistores-Quilon, MD, PA

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1659488120
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2485 Issued in TX
Practice address
1400 S Closner Blvd
Edinburg, TX 78539-5668
Phone
(956) 316-0860
Fax
(956) 316-1073
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J2485 TX Primary

Addresses

Primary practice location

1400 S Closner Blvd
Edinburg, TX 78539-5668

Mailing address

1400 S Closner Blvd
Edinburg, TX 78539-5668
Phone (956) 316-0860

Other identifiers 4

IdentifierTypeStateIssuer
137175905MedicaidTX
742967614OtherTXTAX ID
8AJ940OtherTXBCBS
137175909OtherTXTHSTEPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041221001007 TX Practitioner - Family Practice 9436117405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 S Closner Blvd
Edinburg, TX 78539-5668
Phone (956) 316-0860

Hospital & facility affiliations

  • Sunrise Health Care Services LTD Home health agency, McAllen, TX, CCN 679436
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2485TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Asistores-Quilon, M.D., P.a. Current Accepting new patients
Marilyn Asistores Quilon, MD.PA Family Medicine CurrentSince Jun 12, 2008 Accepting new patients

Locations

1400 S Closner Blvd
Edinburg, TX 78539
Phone (956) 316-0860

Organizations & group practices 2

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 7

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1659488120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395668",
            "telephone_number": "956-316-0860",
            "fax_number": "956-316-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395668",
            "telephone_number": "956-316-0860",
            "fax_number": "956-316-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASISTORES-QUILON",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137175905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742967614",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ940",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS",
            "identifier": "137175909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.