Individual provider Active NPI

Henry Christian Quevedo Diaz, M.D.

  • Interventional Cardiology Physician
  • Chambersburg, PA
National Provider Identifier
1679708374
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
128887 Issued in MT
Practice address
12 St Paul Dr
Chambersburg, PA 17201-1035
Phone
(717) 217-6886
Fax
(717) 217-6896
NPI assigned
May 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X DR.0072323 CO
Interventional Cardiology Physician 207RI0011X 128887 MT Primary
Cardiovascular Disease Physician 207RC0000X MD.205735 LA
Interventional Cardiology Physician 207RI0011X MD466350 PA

Addresses

Primary practice location

12 St Paul Dr
Chambersburg, PA 17201-1035

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

1 Mercado St Ste 130
Durango, CO 81301-7306
Phone (970) 247-1120

Other practice location 2

1051 Gause Blvd
Slidell, LA 70458-2951
Phone (985) 641-7577

Other practice location 3

7500 Central Ave Ste 203
Philadelphia, PA 19111-2432
Phone (215) 289-4434

Other names 1

  • Henry Christian Quevedo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA, NJ, CO, MT, KS6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160510001887 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325337686 Reassigns benefits to 3 organizations
I20190930000068 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 8325337686 Reassigns benefits to 7 organizations
I20191101001363 NJ Practitioner - Cardiovascular Disease (Cardiology) 8325337686 Reassigns benefits to 2 organizations
I20240110004144 CO Practitioner - Cardiovascular Disease (Cardiology) 8325337686 Reassigns benefits to 3 organizations
I20240116003670 MT Practitioner - Cardiovascular Disease (Cardiology) 8325337686 Reassigns benefits to 3 organizations
I20260611001861 KS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325337686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians
CMSC LLCGroup PAC ID 5890602494, 92 clinicians
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

1 Mercado St
Durango, CO 81301-7306
Phone (970) 247-1120

1400 29TH St S
Great Falls, MT 59405-5315
Phone (406) 454-2171

1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500

2721 E Allegheny Ave
Suite 1
Philadelphia, PA 19134-5907
Phone (215) 289-4434

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4646

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

Hospital & facility affiliations

  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466350PAMDCardiovascular Disease Physician
DR.0072323COMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Cardiovascular Disease Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Quevedo Cardiovascular Center LLC Cardiovascular Disease CurrentSince Sep 15, 2021 Accepting new patients
Wellspan Medical Group CurrentSince May 26, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 1, 2024 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince May 25, 2022 Accepting new patients
Hamilton Heart & Vascular Care LLC Interventional Cardiology CurrentSince Sep 7, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 22, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 31, 2025 Accepting new patients
Fayette Physician Network Inc CurrentSince Sep 30, 2024 Accepting new patients
Wissinoming Medical Associates PC CurrentSince Jan 28, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Wellspan Medical Group CurrentSince May 26, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 1, 2024 Accepting new patients
Coatesville Cardiology Clinic LLC Cardiovascular Disease CurrentSince Oct 9, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 31, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince May 25, 2022 Accepting new patients
Catholic Health Initiatives Colorado Cardiovascular Disease CurrentSince Mar 7, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 4, 2023 Accepting new patients
Riverside Medical Center Current Accepting new patients
Cardiovascular Specialty Care Center of Covington, LLC Cardiovascular Disease CurrentSince Aug 28, 2017 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Fayette Physician Network Inc Cardiovascular Disease CurrentSince Sep 30, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Jun 15, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 15, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 15, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 7, 2025 Accepting new patients
St. Luke'S Physician Group Inc. Cardiovascular Disease CurrentSince Jul 22, 2024 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Apr 14, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Heart & Vascular Care Consultants LLC Cardiovascular Disease CurrentSince Dec 28, 2019 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Dec 4, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 15, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients

Locations (25 of 42)

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1 Mercado St
Ste 130
Durango, CO 81301
Phone (970) 247-1120

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

360 W Park Dr
Grand Junction, CO 81505
Phone (970) 244-2482

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

300 Exempla Cir
Ste 310
Lafayette, CO 80026
Phone (303) 272-0500

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

71070 Highway 21
Covington, LA 70433
Phone (225) 456-5383

1514 Jefferson Hwy
New Orleans, LA 70121

1415 Tulane Ave
Fl 4
New Orleans, LA 70112
Phone (504) 988-5263

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

105 Medical Center Dr
Slidell, LA 70461
Phone (985) 661-3534

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

2827 Fort Missoula Rd
Bldg 5
Missoula, MT 59804
Phone (406) 327-4646

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

8 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 252-8760

3379 Quakerbridge Rd
Ste 201
Trenton, NJ 08619
Phone (609) 360-0145

3379 Quakerbridge Rd
Ste 200
Trenton, NJ 08619
Phone (609) 360-0145

Interoperability endpoints

  • Direct secure messaging: hquevedodiaz472039@wellspan.direct-ci.com

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 12

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": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1679708374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ST PAUL DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011035",
            "telephone_number": "717-217-6886",
            "fax_number": "717-217-6896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercado St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017306",
            "country_code": "US",
            "telephone_number": "970-247-1120",
            "fax_number": "970-247-1128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Gause Blvd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582951",
            "country_code": "US",
            "telephone_number": "985-641-7577",
            "fax_number": "985-643-0826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Central Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112432",
            "country_code": "US",
            "telephone_number": "215-289-4434",
            "fax_number": "215-289-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEVEDO DIAZ",
        "first_name": "HENRY",
        "middle_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0072323",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "128887",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.205735",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD466350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "QUEVEDO",
            "middle_name": "CHRISTIAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.