Active NPI
Quynh K. Rathkamp, M.D.
- Internal Medicine Physician
- Irving, TX
National Provider Identifier
1780621219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K8557
- Practice address
- 6750 N Macarthur Blvd
Building 2, Suite 150
Irving, TX 75039-2420 - Phone
- (972) 373-0303
- Fax
- (972) 373-8074
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K8557 | TX | Primary |
Addresses
Primary practice location
6750 N Macarthur Blvd
Building 2, Suite 150
Irving, TX 75039-2420
Mailing address
6750 N Macarthur Blvd
Suite 150
Irving, TX 75039-2875
Phone (972) 373-0303
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110188636 | Other | TX | RAILROAD MEDICARE |
| 041916002 | Medicaid | TX | |
| 041916003 | Medicaid | TX | |
| 041916001 | Medicaid | TX | |
| TXB144273 | Other | TX | MEDICARE TARRANT GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8557 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1780621219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "SUITE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750392875",
"telephone_number": "972-373-0303",
"fax_number": "972-373-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "BUILDING 2, SUITE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750392420",
"telephone_number": "972-373-0303",
"fax_number": "972-373-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKAMP",
"first_name": "QUYNH",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K8557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110188636",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041916002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041916003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041916001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TARRANT GROUP",
"identifier": "TXB144273",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.