Individual provider Active NPI

Coral A Quiet, MD

  • Radiation Oncology Physician
  • Phoenix, AZ
National Provider Identifier
1750345401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
21606 Issued in AZ
Practice address
19646 N 27TH Ave Ste 108
Phoenix, AZ 85027-4025
Phone
(480) 922-4600
Fax
(623) 223-1196
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 21606 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave Ste 108
Phoenix, AZ 85027-4025

Mailing address

9055 E del Camino Dr Ste 200
Scottsdale, AZ 85258-2363
Phone (480) 922-4600

Other practice location 1

9055 E. Del Camino Drive
#200
Scottsdale, AZ 85258
Phone (480) 922-4600

Other identifiers 2

IdentifierTypeStateIssuer
138075MedicaidAZ
138075OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090109000103 AZ Practitioner - Radiation Oncology 8325101801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Massachusetts Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10460 N 92ND St
Suite 101
Scottsdale, AZ 85258-4547
Phone (480) 278-8300

14155 N 83Rd Ave
Suite 127
Peoria, AZ 85381-5652
Phone (623) 773-2873

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology PLC Radiation Oncology Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jul 1, 2012 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Jul 1, 2012 Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients
Arizona Cancer Specialists PLC Radiation Oncology PastSince Oct 3, 2008 Accepting new patients
Arizona Oncology Associates PC Radiation Oncology PastSince Jun 4, 2018 Accepting new patients

Locations

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

20950 N 29th Ave
#C1
Phoenix, AZ 85027

20950 N 29th Ave
Bldg 3
Phoenix, AZ 85027

19646 N 27th Ave
Ste 108
Phoenix, AZ 85027
Phone (480) 278-8300

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

9055 E Del Camino Dr
Ste 100
Scottsdale, AZ 85258
Phone (480) 860-5000

7337 E 2nd St
Scottsdale, AZ 85251
Phone (480) 712-8741

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750345401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 E DEL CAMINO DR STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582363",
            "telephone_number": "480-922-4600",
            "fax_number": "623-223-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274025",
            "telephone_number": "480-922-4600",
            "fax_number": "623-223-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 E. Del Camino Drive",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85258",
            "country_code": "US",
            "telephone_number": "480-922-4600",
            "fax_number": "480-922-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIET",
        "first_name": "CORAL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "21606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138075",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "138075",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.