NPIMap

Individual provider Active NPI

Ali T Dural, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1376543470
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J9005 Issued in TX
Practice address
111 Vision Park Blvd
Ste 150
Shenandoah, TX 77384-3002
Phone
(936) 321-0033
Fax
(936) 321-0032
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J9005 TX Primary

Addresses

Primary practice location

111 Vision Park Blvd
Ste 150
Shenandoah, TX 77384-3002

Mailing address

PO Box 130894
The Woodlands, TX 77393-0894
Phone (936) 321-0033

Other identifiers 7

IdentifierTypeStateIssuer
132712409MedicaidTX
8H3680OtherTXBLUE CROSS
7046365OtherTXAETNA
4901971OtherTXCIGNA
132712408MedicaidTX
5644116OtherTXAETNA
108097OtherTXAMERCAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000462 TX Practitioner - Gastroenterology 2264492750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3005
Phone (936) 321-0033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy215
Upper gastrointestinal (GI) endoscopy for acid reflux213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9005TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Specialists of North Harris County PA Gastroenterology CurrentSince Feb 10, 2003 Accepting new patients

Locations

800 Peakwood Dr
Ste 6H
Houston, TX 77090
Phone (281) 886-7440

111 Vision Park Blvd
Ste 150
Shenandoah, TX 77384
Phone (281) 444-9545

Interoperability endpoints

  • Direct secure messaging: adural65639@memorialhermann.direct-ci.com

Organizations & group practices 1

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 11

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1376543470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130894",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773930894",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAL",
        "first_name": "ALI",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J9005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132712409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8H3680",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7046365",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4901971",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132712408",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5644116",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERCAID",
            "identifier": "108097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.