Active NPI
Eduardo A. Cevallos, M.D.
- Pediatrics Physician
- Quakertown, PA
National Provider Identifier
1790754687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD016392E
- Practice address
- 99 N West End Blvd Ste 110
Quakertown, PA 18951 - Phone
- (215) 536-1915
- Fax
- (215) 536-9189
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD016392E | PA | Primary |
Addresses
Primary practice location
99 N West End Blvd Ste 110
Quakertown, PA 18951
Mailing address
99 N West End Blvd Ste 110
Quakertown, PA 18951-1272
Phone (215) 536-1915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006340100001 | Medicaid | PA |
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 |
|---|---|---|---|
| MD016392E | PA | MD | Pediatrics Physician |
Interoperability endpoints
- eduardo.cevallos@slpg.direct-sluhn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1790754687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N WEST END BLVD STE 110",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511272",
"telephone_number": "215-536-1915",
"fax_number": "215-536-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N WEST END BLVD STE 110",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "18951",
"telephone_number": "215-536-1915",
"fax_number": "215-536-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEVALLOS",
"first_name": "EDUARDO",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD016392E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006340100001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quakertown, PA
- Allison Jill Cassel, MS, OTR/L
- Jenna Lynne Cassel, BSN, RN
- Giovanni Catalano, DO
- Lindsey Caton, PA-C
- Patricia Gail Caulfield, M.A. CCC/SLP
- Charles E.M. Campbell, MD
- Melissa A Chiarelli, D.O.
- Child'S Work Counseling Service Inc.
- Children and Adults Home Health Care LLC
- Children'S Developmental Program
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.