NEURO IR OF EAST TEXAS
NPI 1508376716
Radiology - Neuroradiology in Tyler, TX

Active since October 03, 2017
700 OLYMPIC PLAZA CIR STE 910, TYLER, TX 75701(903) 705-0072(903) 705-0068 Get Directions Write a Review

NPPES record last updated: November 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2023, Aug 10, 2022, Sep 6, 2019 (3 updates tracked since 2019).

About Neuro Ir Of East Texas NPPES

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

NEURO IR OF EAST TEXAS (NPI 1508376716) is a healthcare organization registered as a neuroradiology in Tyler, Texas and active in the NPI registry since October 2017. The organization lists Michelle Black, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1508376716
Entity TypeOrganization
Primary Taxonomy2085N0700X
Legal Business NameNEURO IR OF EAST TEXAS
Location Address700 OLYMPIC PLAZA CIR STE 910Tyler, TX 75701-1915
Mailing Address700 Olympic Plaza Cir Ste 910Tyler, TX 75701-1915 · (903) 705-0072 · Fax (903) 705-0068
Fax(903) 705-0068
Organization SubpartNo
Authorized OfficialMichelle BlackPractice Administrator · (903) 705-0072
Enumeration DateOctober 3, 2017
Last NPPES UpdateNovember 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1508376716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
700 OLYMPIC PLAZA CIR STE 910, Tyler, TX 75701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neuro Ir Of East Texas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Neuro Ir Of East Texas, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Diagnostic Radiology
NPI 1063472579
910 E HOUSTON ST STE 210
Tyler, TX 75702
(903) 705-0072
✔ PECOS✔ Accepts Medicare0.5 mi
Interventional Radiology
NPI 1568448785
910 E HOUSTON ST STE 210
Tyler, TX 75702
(903) 705-0072
✔ PECOS✔ Accepts Medicare0.5 mi
Diagnostic Radiology
NPI 1083669246
910 E HOUSTON ST STE 210
Tyler, TX 75702
(903) 705-0072
✔ PECOS✔ Accepts Medicare0.5 mi

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

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 Neuro Ir Of East Texas's NPI number?

The NPI number for Neuro Ir Of East Texas is 1508376716. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Neuro Ir Of East Texas located?

Neuro Ir Of East Texas is located at 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701. The listed phone number is (903) 705-0072.

What is Neuro Ir Of East Texas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Neuro Ir Of East Texas enrolled in Medicare?

Yes. Neuro Ir Of East Texas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neuro Ir Of East Texas?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Neuro Ir Of East Texas, in Diagnostic Radiology and Interventional Radiology. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neuro Ir Of East Texas was last updated on November 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.