JULIAN BENJAMIN QUESADA
NPI 1790470185
Student in an Organized Health Care Education/Training Program in O Fallon, IL
About Julian Benjamin Quesada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIAN BENJAMIN QUESADA (NPI 1790470185) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julian Benjamin Quesada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
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 Julian Quesada's NPI number?
The NPI number for Julian Quesada is 1790470185. It was assigned to this individual provider in the NPPES registry on April 10, 2023.
Where is Julian Quesada located?
Julian Quesada practices at 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269. The listed phone number is (956) 285-7176.
What is Julian 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 Julian Quesada enrolled in Medicare?
Yes. Julian Quesada is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Julian Quesada was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Julian Benjamin Quesada · NPI 1790470185
Student in an Organized Health Care Education/Training Program provider in O Fallon, Illinois. Individual provider, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1790470185 (Entity type: Individual)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269-1284
- **Phone:** (956) 285-7176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 15, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1790470185) · Data from the CMS NPPES public registry.