Active NPI
Marcelo Duran
- EEG Specialist/Technologist
- Katy, TX
National Provider Identifier
1629464359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- Practice address
- 4610 Katy Hockley Cut Off Rd
Katy, TX 77493-7838 - Phone
- (832) 962-9121
- Fax
- (832) 218-6416
- NPI assigned
- Apr 9, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | Primary | ||
| Other Technician | 247200000X | |||
| EEG Technician | 2472E0500X |
Addresses
Primary practice location
4610 Katy Hockley Cut Off Rd
Katy, TX 77493-7838
Mailing address
4610 Katy Hockley Cut Off Rd
Katy, TX 77493-7838
Phone (832) 962-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-3286665 | Other | TX | SYNERGY DIAGNOSTICS LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy DX | Eeg | Past | Accepting new patients |
| Outsourced Medical Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJGCDA/Endpoint/CJGCDA
Organizations & group practices 2
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Katy, TX
- NPI 1588069496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1629464359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 KATY HOCKLEY CUT OFF RD",
"city": "KATY",
"state": "TX",
"postal_code": "774937838",
"telephone_number": "832-962-9121",
"fax_number": "832-218-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 KATY HOCKLEY CUT OFF RD",
"city": "KATY",
"state": "TX",
"postal_code": "774937838",
"telephone_number": "832-962-9121",
"fax_number": "832-218-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "MARCELO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SYNERGY DIAGNOSTICS LLC",
"identifier": "47-3286665",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.