Individual provider Active NPI

Charles Darren Duvall, M.D.

  • Diagnostic Radiology Physician
  • Longview, TX
National Provider Identifier
1144287657
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J9489 Issued in TX
Practice address
2901 N 4TH St
Longview, TX 75605-5128
Phone
(903) 232-3660
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J9489 TX Primary

Addresses

Primary practice location

2901 N 4TH St
Longview, TX 75605-5128

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Other identifiers 1

IdentifierTypeStateIssuer
089962705MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070725000237 TX Practitioner - Diagnostic Radiology 4385745074 Reassigns benefits to 2 organizations
I20230628000560 OK Practitioner - Diagnostic Radiology 4385745074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 6204723547, 22 clinicians

Practice addresses (Care Compare)

500 N Clarence Nash Blvd
Watonga, OK 73772-2845
Phone (405) 755-1515

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317
  • Mercy Hospital Kingfisher, Inc Hospital, Kingfisher, OK, CCN 371313
  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • Mercy Hospital Watonga, Inc Hospital, Watonga, OK, CCN 371302

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal MRI, LLC CurrentSince Sep 1, 2018 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Radiology Consultants, PC Diagnostic Radiology CurrentSince May 2, 2023 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Prestige Imaging, LLC PastSince Apr 30, 2003 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4625 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-2323

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

707 Hollybrook Dr
Longview, TX 75605
Phone (903) 232-8501

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2816 Marketplace Dr
Ste 120
Waco, TX 76711
Phone (903) 663-9074

1429 Clear Lake Rd
Ste 400
Weatherford, TX 76086
Phone (817) 321-0312

Interoperability endpoints

  • Direct secure messaging: cduvall355159@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1144287657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404",
            "fax_number": "817-321-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-232-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "CHARLES",
        "middle_name": "DARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J9489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089962705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.