Active NPI
Jose D Quitain III, M.D.
- Pediatrics Physician
- Alexandria, LA
National Provider Identifier
1801966833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201160
- Practice address
- 211 4TH St
Box 30101
Alexandria, LA 71301-8421 - Phone
- (318) 449-7383
- NPI assigned
- Nov 8, 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 | 201160 | LA | Primary |
Addresses
Primary practice location
211 4TH St
Box 30101
Alexandria, LA 71301-8421
Mailing address
211 4TH St
Box 30101
Alexandria, LA 71301-8421
Phone (318) 449-7383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1449067 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55877 | CA | MD | General Practice Dentistry |
| 262694 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Pediatrics | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1801966833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "BOX 30101",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-449-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH ST",
"address_2": "BOX 30101",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-449-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUITAIN",
"first_name": "JOSE",
"middle_name": "D",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "201160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1449067",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.