NeuroSentinel Physician Services – Electrodiagnostic Medicine Physician, NPI 1083966493
Electrodiagnostic Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NeuroSentinel Physician Services
PO BOX 580469
HOUSTON, TX 772580469
Phone: (888) 824-1470
Fax: (832) 864-2739
Type: Mailing
1110 NASA PKWY STE 460
HOUSTON, TX 770583346
Phone: (888) 824-1470
Fax: (832) 864-2739
Type: Location
PO BOX 1789
CROSBY, TX 775321789
Phone:
Fax: (281) 462-4106
Type: Mailing
4008 VISTA RD STE A100
PASADENA, TX 775042127
Phone: (888) 824-1470
Fax: (832) 864-2739
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: 2013-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (619 days ago).
Enrollment records
1
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20130123000001 | O | Clinic/Group Practice | TX | 2024-09-30 |
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 77258)
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