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DR. HEIDI JOY DUARTE MD
NPI 1700413549
Pediatrics in Edinburg, TX

Active since March 23, 2020PECOS Enrolled
1102 W TRENTON RD, EDINBURG, TX 78539(956) 388-6800 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2024, Mar 23, 2020 (2 updates tracked since 2020).

About Dr. Heidi Joy Duarte Md NPPES

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

DR. HEIDI JOY DUARTE MD (NPI 1700413549) is an individual pediatrics provider in Edinburg, Texas, licensed in Texas (U8319) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700413549
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HEIDI JOY DUARTECredential: MD
Location Address1102 W TRENTON RDEdinburg, TX 78539-9105
Mailing AddressPo Box 1011Mcallen, TX 78505-1011 · (956) 388-6800
Phone(956) 388-6800
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1700413549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · U8319
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 11545 (ZZ)
Also ListedHospitalistTaxonomy 208M00000X · License U8319 (TX)
1102 W TRENTON RD, Edinburg, TX 78539
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heidi Joy Duarte Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

SOUTH TEXAS HEALTH SYSTEM LLC
Rehabilitation Unit
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6000
WILSON C SY MD PA
Specialist
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 631-2529
WILLIAM JOHN NORBERG JR. M.D
Hospitalist
1102 W TRENTON RD, PICU INTENSIVIST
EDINBURG, TX 78539
Hidalgo County (956) 388-6000
VICENTE BAUTISTA PA
Physician Assistant
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6000
DR. MICHAEL HEICHEN MD
Emergency Medicine
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6500
VANESSA ALEXANDRA BOYD ACNPC-AG
Nurse Practitioner (Acute Care)
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6000
RIO VALLEY EMERGENCY PHYSICIAN ASSOCIATES PLLC
Emergency Medicine
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6000
MCALLEN HOSPITALS L P
Skilled Nursing Facility
1102 W TRENTON RD
EDINBURG, TX 78539
Hidalgo County (956) 388-6000

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 Heidi Duarte's NPI number?

The NPI number for Heidi Duarte is 1700413549. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Heidi Duarte located?

Heidi Duarte practices at 1102 W Trenton Rd, Edinburg, TX 78539. The listed phone number is (956) 388-6800.

What is Heidi Duarte's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heidi Duarte enrolled in Medicare?

Yes. Heidi Duarte is registered in the Medicare PECOS enrollment system.

What insurance does Heidi Duarte accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Heidi 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 Heidi Duarte was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.