GERARDO QUEZADA MD NPI 1427227602

NPI Information

NPI: 1427227602
Provider Name: GERARDO QUEZADA, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
4410 MEDICAL DR
SUITE 540
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-6240
Get Directions

Gerardo Quezada, MD is a pediatric hematology-oncology pediatrics in San Antonio, TX. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Gerardo Quezada, MD NPI is 1427227602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4410 MEDICAL DR
SUITE 540
SAN ANTONIO, TX
ZIP 78229-749
Phone: (210) 575-6240
Fax: (210) 575-6280

The NPI 1427227602 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 3/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0000X	Internal Medicine	Hematology	M7544	TEXAS	No
2	208000000X	Pediatrics		M7544	TEXAS	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	M7544	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8F10114	OTHER	TEXAS	MEDICARE
2	8BX396	OTHER		BCBS TX
3	191616505	MEDICAID	TEXAS
4	TXB131160	MEDICARE PIN
5	191616506	OTHER	TEXAS	CSHCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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