Active NPI
Charles Darren Duvall, M.D.
- Diagnostic Radiology Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- J9489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089962705 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Mercy Hospital Logan County
- Mercy Hospital Kingfisher, Inc
- Oklahoma Heart Hospital, LLC
- Mercy Hospital Watonga, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 86.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal MRI, LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Prestige Imaging, LLC | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Oklahoma City, OK
- NPI 1528000288
-
- Radiology Clinic/Center
- Waco, TX
- NPI 1932692548
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Diagnostic Ultrasound Physician
- Fort Worth, TX
- NPI 1629137831
Diagnostic Radiology
-
- Physician Assistant
- Fort Worth, TX
- NPI 1578331393
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Fort Worth, TX
- NPI 1225204654
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kingfisher, OK
- NPI 1083048417
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- Medicare Defined Swing Bed Hospital Unit
- Watonga, OK
- NPI 1801158522
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.