Jose Santos Cuevas Jr., PA-C
Individual provider Active NPI Physician Assistant · Westminster, MD
NPI 1669982286 · NPPES record last updated Jun 7, 2019
Key facts
- NPI
- 1669982286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C06583 (MD)
- Practice address
- 200 Memorial Ave
Westminster, MD 21157-5726 - Phone
- (410) 871-7031
- NPI assigned
- Oct 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700
Hospital & facility affiliations
- Carroll Hospital Center
- Sinai Hospital of Baltimore
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171215002002 | MD | Practitioner - Physician Assistant | 3476811654 | Reassigns benefits to 2 organizations |
| I20190614001730 | DC | Practitioner - Physician Assistant | 3476811654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C06583 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, PA | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Maryland PC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | C06583 | MD | |
| Physician Assistant | 363A00000X | C06583 | MD | Yes |
Addresses
Primary practice location
200 Memorial Ave
Westminster, MD 21157-5726
Mailing address
2010 Cascade Rd
Silver Spring, MD 20902-4238
Phone (301) 793-5922
Other providers in Westminster, MD
- Kayla Cross
- Crossroads Center of Frederick LLC
- Renee Crowl-Gallagher
- Emily Nicole Crumpler
- Gladys Rossey De la Cruz Cruz
- Samantha Cunzo
- Kathleen Curry
- Hollie Cushen
- Maryam D'Alberto
- Kyla Danner
All providers in Westminster, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.