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ANTHONY QUESADA
NPI 1356970677
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 07, 2020PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-8882(303) 724-6601 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 27, 2026, Jun 21, 2021, Apr 7, 2020 (3 updates tracked since 2020).

About Anthony Quesada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY QUESADA (NPI 1356970677) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Baylor College Of Medicine (2020).

NPPES Registry Identity

NPI1356970677
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTHONY QUESADA
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-8882 · Fax (303) 724-6601
Phone(303) 724-8882
Fax(303) 724-6601
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1356970677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License DR.0067266 (CO)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License DR.0067266 (CO)
12631 E 17TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Secondary Practice Location 1

Location 11746 Cole Blvd Ste 100Lakewood, CO 80401-3208 · Phone (303) 914-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Quesada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133521396
PECOS Enrollment IDI20260720001060
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIKA DANIELLE RECZEK MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5000
SARAH ASHLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
MARIA IZABEL KUGELMAS GUARITA LOCKWOOD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 887-6343
ELIZABETH JONES DO
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
DR. SAMANTHA NICOLE FOUNTAIN MD, MMEDSCI
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-2680
DR. BEZA TESHOME TAYACHEW MD, MPH
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
HANA MUSE KUSUMOTO MPH, MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
SPENCER SURESH BURT MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Quesada's NPI number?

The NPI number for Anthony Quesada is 1356970677. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Anthony Quesada located?

Anthony Quesada practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-8882.

What is Anthony Quesada's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anthony Quesada enrolled in Medicare?

Yes. Anthony Quesada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Quesada was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.