Organization Active NPI

Quantum Neurodiagnostic Physicians, PLLC

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1255203907
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
QUANTUM NEURODIAGNOSTIC PHYSICIANS, PLLC
Practice address
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Phone
(888) 803-6480
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NEURODIAGNOSTICS GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Andrea Heimann, B.S.R. EEG T
Title
Vice President
Phone
(720) 490-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

12828 Willow Centre Dr Ste D
Houston, TX 77066-3043

Mailing address

PO Box 889
Englewood, CO 80151-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414000285 TX Part B Supplier - Clinic/Group Practice 0042785495 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Neurodiagnostics Group LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1255203907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801510889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CENTRE DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "888-803-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM NEURODIAGNOSTIC PHYSICIANS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEURODIAGNOSTICS GROUP, LLC",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "HEIMANN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "720-490-2069",
        "authorized_official_credential": "B.S.R. EEG T"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.