Centennial Neurodiagnostics LLC – Physiological Laboratory, NPI 1528588795
Physiological Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Centennial Neurodiagnostics LLC
3838 OAK LAWN AVE STE 1420
DALLAS, TX 752194515
Phone: (888) 482-2334
Type: Mailing
Oak Lawn Avenue, Oak Lawn, Dallas, TX, Dallas, Dallas County, Texas, 75219, United States
DALLAS, TX 752194511
Phone: (866) 329-8177
Type: Mailing
450 S Orange Ave Fl 3
Orlando, FL 328013394
Phone: (866) 329-8177
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.
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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: 2018-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| O20180201000138 | O | Independent Diagnostic Testing Facility (Idtf) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring | 262 | 122 | $0 |
| 95700 | Measurement of brain wave activity (eeg), continuous | 136 | 134 | $0 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 97 | 97 | $0 |
| 95724 | Measurement of brain wave activity with video (veeg), 61-84 hours with review and report by health care professional | 16 | 16 | $0 |
Insurance plans in this area (ZIP 75219)
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