DR. HAROLD JOHANNES DUARTE MD
NPI 1508326182
Internal Medicine - Gastroenterology in Dayton, OH

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
75 SYLVANIA DR, DAYTON, OH 45440(937) 320-5050 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Aug 7, 2026, Aug 22, 2023 and 3 more (6 updates tracked since 2019).

About Dr. Harold Johannes Duarte Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HAROLD JOHANNES DUARTE MD (NPI 1508326182) is an individual gastroenterology provider in Dayton, Ohio, licensed in Ohio (35.144289) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508326182
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HAROLD JOHANNES DUARTECredential: MD
Location Address75 SYLVANIA DRDayton, OH 45440-3237
Mailing AddressPo Box 381468Germantown, TN 38183-1468
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 31, 20266 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1508326182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in OH · 35.144289✔ Licensed in CA · A186518
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
75 SYLVANIA DR, Dayton, OH 45440

Secondary Practice Locations 3

Location 19000 N Main St Ste 405Englewood, OH 45415-1170 · Phone (937) 320-5050
Location 2415 Byers Rd Ste 100Miamisburg, OH 45342-3684 · Phone (937) 320-5050
Location 34200 Indian Ripple RdBeavercreek, OH 45440-3248 · Phone (937) 320-5050

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Harold Johannes Duarte Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224371976
PECOS Enrollment IDI20260527002663
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Harold Duarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
75 SYLVANIA DR
Dayton, OH 45440
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91.25

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Nurse Anesthetist, Certified Registered
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
DAYTON, OH 45440
Nurse Practitioner
75 SYLVANIA DR
DAYTON, OH 45440
Physician Assistant
75 SYLVANIA DR
BEAVERCREEK, OH 45440
Internal Medicine (Gastroenterology)
75 SYLVANIA DR
DAYTON, OH 45440
Nurse Practitioner (Acute Care)
75 SYLVANIA DR
BEAVERCREEK, OH 45440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harold Duarte's NPI number?

The NPI number for Harold Duarte is 1508326182. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Harold Duarte located?

Harold Duarte practices at 75 Sylvania Dr, Dayton, OH 45440. The listed phone number is (937) 320-5050.

What is Harold Duarte's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Harold Duarte enrolled in Medicare?

Yes. Harold Duarte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Harold Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harold Duarte reassigns Medicare benefits to 2 organizations: Dayton Gastroenterology LLC (Dayton, OH) and Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harold Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harold Duarte accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Harold Duarte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harold Duarte was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.