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

Q: 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.

Q: What is Heidi Duarte's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Duarte was last updated on May 8, 2024. 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.

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: October 18, 2026.

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

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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 Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Heidi Duarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcallen Hospitalist Group, PLLC

2.7 mi

Internal Medicine

1400 W TRENTON RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
143 clinicians in this Medicare group

NPI 1356361976 (956) 388-2187

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 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.

Which organization bills Medicare for Heidi Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Duarte reassigns Medicare benefits to Mcallen Hospitalist Group, PLLC (Edinburg, TX). The 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 Heidi Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Duarte accept?

Health plans from Blue Cross and Blue Shield of Texas 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 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.