MARIO QUINTANILLA (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1093732620

MARIO QUINTANILLA (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G5506 (TX). The NPI Number for MARIO QUINTANILLA (M.D.) is 1093732620

Main info

Male
43 Years Of Experience
Name
MARIO QUINTANILLA (M.D.)
NPI
1093732620
Phone
(866) 916-5259
Address
PO BOX 849881
Enumeration Date
17 July 2006
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2816945956
Graduation Year
1983 (43 years ago)
PAC ID
4486543063
Group Practice PAC ID
1254626120
Professional Enrollment ID
I20040311001477
Address ID
TX770275803HO3905XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

Provider Addresses for MARIO QUINTANILLA (M.D.)

  • PO BOX 849881

    DALLAS, TX 752840001

    Phone: (866) 916-5259

    Fax: (231) 922-4030

    Type: Mailing

  • 3905 RICHMOND AVE

    HOUSTON, TX 770275803

    Phone: (832) 810-3000

    Type: Mailing

  • CHRISTUS Spohn Hospital Alice, 2500, East Main Street, Alice, Jim Wells County, Texas, 78332, United States

    ALICE, TX 783324169

    Phone: (361) 354-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040311001477IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes5252$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected3028$0
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254626120View full group profile
NameSpecialtyState
Internal MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to MARIO QUINTANILLA (M.D.)?
NPI 1093732620 is assigned to MARIO QUINTANILLA (M.D.) under the national enumeration system.
Is MARIO QUINTANILLA (M.D.) currently active in the NPI registry?
CMS-published data lists MARIO QUINTANILLA (M.D.) as an active registrant.
Does MARIO QUINTANILLA (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medical Services (Emergency Medicine) Physician for MARIO QUINTANILLA (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for MARIO QUINTANILLA (M.D.)?
We surface Dallas, Texas for MARIO QUINTANILLA (M.D.) based on available NPPES addresses.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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