Individual provider Active NPI

Philippe Duhaime, M.D

  • Internal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1043692866
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A15244 Issued in CA
Practice address
Sierra Vista Regional Medical Center
1010 Murray Ave,
San Luis Obispo, CA 93405-9340
Phone
(805) 546-7000
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A15244 CA Primary

Addresses

Primary practice location

Sierra Vista Regional Medical Center
1010 Murray Ave,
San Luis Obispo, CA 93405-9340

Mailing address

Coastal Communities Physician Network
1305 Marsh Street
San Luis Obispo, CA 93401
Phone (800) 763-7732

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-4049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001392 CA Practitioner - Internal Medicine 0840554358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast in-Patient Consultants IncGroup PAC ID 8325137714, 33 clinicians

Practice addresses (Care Compare)

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 489-4261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.33 of 100Reported as group
Quality
29.5
Improvement activities
0
Cost
80.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A15244CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Medical Oncology Corp PastSince Jul 5, 2020 Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine PastSince Jul 5, 2020 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: phillippe.duhaime.p8@direct.bfmc.nextgenshare.com
  • Direct secure messaging: phillippe.duhaime.p1@direct.bfmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1043692866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COASTAL COMMUNITIES PHYSICIAN NETWORK",
            "address_2": "1305 MARSH STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "800-763-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIERRA VISTA REGIONAL MEDICAL CENTER",
            "address_2": "1010 MURRAY AVE,",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934059340",
            "telephone_number": "805-546-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-4049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUHAIME",
        "first_name": "PHILIPPE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A15244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.