Individual provider Active NPI

Luis Angel Duharte Vidaurre, MD

  • Infectious Disease Physician
  • Bryan, TX
National Provider Identifier
1225076797
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
V8475 Issued in TX
Practice address
2700 E 29TH St Ste 260
Bryan, TX 77802-2587
Phone
(979) 690-4816
Fax
(979) 690-4827
NPI assigned
Jun 4, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X V8475 TX Primary
Infectious Disease Physician 207RI0200X ME95160 FL

Addresses

Primary practice location

2700 E 29TH St Ste 260
Bryan, TX 77802-2587

Mailing address

2700 E 29TH St Ste 260
Bryan, TX 77802-2587
Phone (979) 690-4816

Other identifiers 3

IdentifierTypeStateIssuer
52551OtherFLBCBS
P00316333OtherRAILROAD MEDICARE
023676600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20060719000248 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9830102763 Reassigns benefits to 1 organization
I20250714004008 TX Practitioner - Infectious Disease 9830102763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 260
Bryan, TX 77802-2587
Phone (979) 690-4816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Duharte and Associates MD LLC Infectious Disease CurrentSince Oct 1, 2013 Accepting new patients
St. Joseph Regional Health Center CurrentSince Sep 1, 2025 Accepting new patients
St Joseph Regional Health Center CurrentSince Sep 1, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606

4409 Sun N Lake Blvd
Ste G
Sebring, FL 33872
Phone (863) 314-0004

2700 E 29th St
Ste 240
Bryan, TX 77802
Phone (409) 776-0750

2700 E 29th St
Ste 260
Bryan, TX 77802
Phone (979) 690-4816

2800 S Texas Ave
Ste 202
Bryan, TX 77802
Phone (979) 774-2060

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7743/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lduhartevidaurre470001@direct.stlukeshealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1225076797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 260",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022587",
            "telephone_number": "979-690-4816",
            "fax_number": "979-690-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 260",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022587",
            "telephone_number": "979-690-4816",
            "fax_number": "979-690-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHARTE VIDAURRE",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "V8475",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME95160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52551",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00316333",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023676600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.