Btdi Jv, LLP
NPI 1407454879ActiveOrganization· Physiological Laboratory· Tyler, TX
Physiological Laboratory in Tyler, Texas, registered in NPPES in October 2020. The authorized official on file is Katrina Roelle, Director Of Credentialing. Medicare paid $388,454 for services to 2,055 patients in 2024.
Overview
| NPI | 1407454879 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2020 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,055 |
|---|---|
| Services billed | 91,267 across 133 procedure codes |
| Paid by Medicare | $388,454 |
Other Physiological Laboratory providers in Tyler
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