Rocky Mountain Neurodiagnostics – Clinical Neurophysiology Physician, NPI 1659640381
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Rocky Mountain Neurodiagnostics
4562 Bellaire Blvd
Bellaire, TX 774014228
Phone: (615) 933-0792
Type: Location
16 Westridge Dr
Asheville, NC 288033329
Phone: (303) 776-5298
Type: Location
1694 Waterglen Dr
West Chester, PA 193826900
Phone: (303) 776-5298
Type: Location
1511 ONYX CIR
LONGMONT, CO 805047805
Phone: (303) 776-5298
Fax: (303) 682-2785
Type: Mailing
1908 THOMES AVE STE 12550
CHEYENNE, WY 820013527
Phone: (303) 776-5298
Fax: (303) 682-2785
Type: Mailing
7500 Oasis Dr
Castle Rock, CO 801088588
Phone: (303) 776-5298
Type: Location
27 Catalina Vista Rd
Ladera Ranch, CA 926941570
Phone: (303) 776-5298
Type: Location
827 22nd St
Santa Monica, CA 904032008
Phone: (303) 776-5298
Type: Location
2630 I St
Sacramento, CA 958164308
Phone: (303) 776-5298
Type: Location
13377 Travertine Ln
Reno, NV 895115946
Phone: (303) 776-5298
Type: Location
2358 Maroneal St
Houston, TX 770303218
Phone: (303) 776-5298
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: 2025-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (712 days ago).
Enrollment records
6
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20190430000984 | O | Clinic/Group Practice | CO | 2024-06-30 |
| O20230919003551 | O | Clinic/Group Practice | TX | TBD |
| O20240104000022 | O | Clinic/Group Practice | PA | TBD |
| O20240207000436 | O | Clinic/Group Practice | NV | TBD |
| O20240216003213 | O | Clinic/Group Practice | CA | TBD |
| O20250425001139 | O | Clinic/Group Practice | NC | 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 77401)
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