Individual provider Active NPI

Curtis Michael Quintana, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1790945988
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 2003-0032 Issued in NM
Practice address
9640 Menaul Blvd NE
Albuquerque, NM 87112-2217
Phone
(505) 294-4167
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2003-0032 NM
Physician Assistant 363A00000X PA 2003-0032 NM Primary

Addresses

Primary practice location

9640 Menaul Blvd NE
Albuquerque, NM 87112-2217

Mailing address

10332 Lawton St NW
Albuquerque, NM 87114-5595
Phone (505) 814-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000725 NM Practitioner - Physician Assistant 5193700979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke City Urgent CareGroup PAC ID 3173848058, 35 clinicians
Minuteclinic Diagnostic of New Mexico, LLCGroup PAC ID 7517280266, 10 clinicians

Practice addresses (Care Compare)

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 814-1995

4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234
Phone (866) 389-2727

4410 Irving Blvd NW
Suite 300
Albuquerque, NM 87114-5951
Phone (505) 814-1995

7200 Montgomery Blvd NE
Albuquerque, NM 87109-1510
Phone (505) 207-3421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 2003-0032NMMDPhysician Assistant
2003-0032NMMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: curtis.quintana.1@27050.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1790945988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10332 LAWTON ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145595",
            "telephone_number": "505-814-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122217",
            "telephone_number": "505-294-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "CURTIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "2003-0032",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA 2003-0032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.