Individual provider Active NPI

Joshua Quinones, M.D.

  • Pediatric Cardiology Physician
  • Humble, TX
National Provider Identifier
1790148146
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
S2875 Issued in TX
Practice address
18980 W Memorial Dr Ste 100
Humble, TX 77338-4559
Phone
(832) 644-8930
Fax
(855) 227-3506
NPI assigned
Apr 2, 2016
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X S2875 TX
Pediatric Cardiology Physician 2080P0202X S2875 TX Primary

Addresses

Primary practice location

18980 W Memorial Dr Ste 100
Humble, TX 77338-4559

Mailing address

18980 W Memorial Dr Ste 100
Humble, TX 77338-4559
Phone (832) 644-8930

Other identifiers 1

IdentifierTypeStateIssuer
436755905MedicaidTX

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
I20230801000075 TX Practitioner - Pediatric Medicine 7214275304 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2875TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Agarwal MD PA CurrentSince Jul 1, 2023 Accepting new patients
Rajiv Agarwal MD PA Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients

Locations

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1790148146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 W MEMORIAL DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384559",
            "telephone_number": "832-644-8930",
            "fax_number": "855-227-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 W MEMORIAL DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384559",
            "telephone_number": "832-644-8930",
            "fax_number": "855-227-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S2875",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "S2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436755905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.