SUMMIT DIAGNOSTICS I LLC – Electrodiagnostic Medicine Physician, NPI 1245331206
Electrodiagnostic Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUMMIT DIAGNOSTICS I LLC
5222 SPRUCE ST
BELLAIRE, TX 774013311
Phone: (713) 626-2334
Fax: (713) 626-2337
Type: Location
PO BOX 27803
HOUSTON, TX 772277803
Phone: (713) 626-2334
Fax: (713) 626-2337
Type: Mailing
Southwest Freeway, Houston, Harris County, Texas, 77010, United States
SUITE 410
HOUSTON, TX 77027
Phone: (713) 626-2334
Fax: (713) 626-2337
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: 2025-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20251021000012 | O | Clinic/Group Practice | TX | TBD |
| O20251215002881 | O | Multi-Specialty - Physician | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 77401)
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