DR. HAROLD JOHANNES DUARTE MD
NPI 1508326182
Internal Medicine - Gastroenterology in Dayton, OH
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
Specialties & Licenses
Secondary Practice Locations 3
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.
Medicare Billing Reassignments
2Medicare 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.
Dayton, OH 45440
- Reassigned Medicare billing, Ohio enrollment
- 74 clinicians in this Medicare group
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.
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.
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.
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.