Patrick Piya Lertdilok, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

P5834 Issued in TX

Practice address

1515 Holcombe Blvd
Unit 1476
Houston, TX 77030-4000

Phone

(713) 792-8182

NPI assigned

Sep 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Diagnostic Radiology

Education

University of Texas Medical School at San Antonio, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
• Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vesta Telemedicine Solutions, PLLC

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1952902116

  TX

  Medicare reassignment Care Compare group NPD
• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120
  Medicare reassignment NPD
• Miguel Oneto, MD, PA

  • Diagnostic Radiology Physician
  • Harlingen, TX
  • NPI 1669786950
  Medicare reassignment NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment NPD
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment NPD
• North Star GV, LP

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664
  Medicare reassignment NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment NPD
• North Star MRI LP

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment NPD
• North Star NPT LP

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647
  Medicare reassignment NPD
• RFC Radiology Associates LLC

  • Diagnostic Radiology Physician
  • McAllen, TX
  • NPI 1437478302
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastland Memorial Hospital District

  • Critical Access Hospital
  • Eastland, TX
  • NPI 1437851680
  Care Compare affiliation
• Mexia Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Mexia, TX
  • NPI 1497708929
  Care Compare affiliation
• Nacogdoches County Hospital District

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  Care Compare affiliation
• Rolling Plains Memorial Hospital

  • General Acute Care Hospital
  • Sweetwater, TX
  • NPI 1275581852
  Care Compare affiliation

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1982938791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 JOHN DREAPER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564230",
            "telephone_number": "512-589-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "address_2": "UNIT 1476",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304000",
            "telephone_number": "713-792-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTDILOK",
        "first_name": "PATRICK",
        "middle_name": "PIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10034055",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Lerner, MD
• Zachary A. Lernor, MSN, AGACNP-BC
• Leroy B. Shaw, M.D., P.a.
• Angela Leroy, BCBA
• Michelle Leroy, LPC, LCDCI
• Les Yarmush Mdpa
• Lesajean M. Jennings, Psy.D.
• Lesajean M. Jennings, Psy.D., PLLC
• James R Lesch, DDS
• Michael David Lesem, MD

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.