IDOC VIRTUAL NEURO CRITICAL CARE LLC – Specialist, NPI 1053926154
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IDOC VIRTUAL NEURO CRITICAL CARE LLC
4635 SOUTHWEST FWY STE 525
HOUSTON, TX 770277157
Phone: (713) 234-4431
Fax: (877) 712-5707
Type: Mailing
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 302815085
Phone: (713) 913-1422
Type: Location
159 E Wesley Rd NE
Atlanta, GA 303053707
Phone: (832) 982-7788
Fax: (303) 648-4534
Type: Location
PO BOX 280113
LAKEWOOD, CO 802280113
Phone: (303) 922-4636
Fax: (720) 600-0998
Type: Mailing
159 E WESLEY RD NE
ATLANTA, GA 303053707
Phone: (832) 982-7788
Fax: (713) 993-6006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (9 days ago).
Enrollment records
2
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210511002519 | O | Clinic/Group Practice | GA | 2026-05-31 |
| O20250517000014 | O | Clinic/Group Practice | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77027)
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