Active NPI
Real Time Neuromonitoring Services Inc
- Clinical Neurophysiology Physician
- Lewisville, TX
National Provider Identifier
1902140387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- ME94218
- Legal business name
- REAL TIME NEUROMONITORING SERVICES INC
- Practice address
- 2781 Ithaca Place
Lewisville, TX 75067 - Phone
- (702) 530-7492
- Fax
- (877) 705-3046
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam A Siddiqui
- Title
- Ceo/President
- Phone
- (214) 972-8151
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME94218 | FL | |
| Clinical Neurophysiology Physician | 2084N0600X | ME94218 | FL | Primary |
Addresses
Primary practice location
2781 Ithaca Place
Lewisville, TX 75067
Mailing address
PO Box 297
Coppell, TX 75019
Phone (702) 530-7492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30990Z | Other | FL | MEDICARE ID-TYPE UNSPECIFIED. FL |
Other names 1
- REAL TIME NEUROMONTORING
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1902140387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "702-530-7492",
"fax_number": "877-705-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 ITHACA PLACE",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75067",
"telephone_number": "702-530-7492",
"fax_number": "877-705-3046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL TIME NEUROMONITORING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2024-11-15",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "214-972-8151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME94218",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "FL",
"license": "ME94218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED. FL",
"identifier": "30990Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REAL TIME NEUROMONTORING",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.