EDUARDO ANDREAZZA DAL LAGO
NPI 1609667245
Radiology - Diagnostic Radiology in Houston, TX

Q: What is Eduardo Andreazza Dal Lago's NPI number?

The NPI number for Eduardo Andreazza Dal Lago is 1609667245. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Q: What is Eduardo Andreazza Dal Lago's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since May 14, 2025PECOS EnrolledAccepts Medicare Assignment

6411 FANNIN ST, HOUSTON, TX 77030(832) 312-1012 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Jun 5, 2025, May 14, 2025 (3 updates tracked since 2025).

On this page

About Eduardo Andreazza Dal Lago NPPES

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

EDUARDO ANDREAZZA DAL LAGO (NPI 1609667245) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (48961) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609667245

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameEDUARDO ANDREAZZA DAL LAGO

Location Address6411 FANNIN STHouston, TX 77030-1501

Mailing Address6411 Fannin StHouston, TX 77030-1501 · (713) 500-6044

Phone(832) 312-1012

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 14, 2025

Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1609667245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · 48961

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6411 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eduardo Andreazza Dal Lago 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 ID4082196605

PECOS Enrollment IDI20260304000011

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HASHIM ZAIDI M.D.

Emergency Medicine