Individual provider Active NPI

Duncan Mackay, MD, MBA

  • Plastic Surgery Physician
  • Madera, CA
National Provider Identifier
1043698616
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
172592 Issued in CA
Practice address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone
(559) 353-5700
Fax
(559) 353-5708
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 172592 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL # SC05
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700

Other practice location 1

730 Welch Rd Fl Stanford
Palo Alto, CA 94304-1503
Phone (650) 673-2418

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
I20210623003239 CA Practitioner - Plastic and Reconstructive Surgery 0941590715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dehesa Dermatology IncGroup PAC ID 6002396900, 5 clinicians

Practice addresses (Care Compare)

978 N Temperance Ave
Clovis, CA 93611-8606
Phone (559) 307-9155

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172592CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar S. Macias, M.D., Inc CurrentSince Mar 1, 2025 Accepting new patients
Valley Children'S Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Dehesa Dermatology Inc CurrentSince Dec 6, 2025 Accepting new patients
Dehesa Dermatology Inc PastSince Dec 6, 2025 Accepting new patients

Locations

978 N Temperance Ave
Clovis, CA 93611
Phone (559) 307-9155

7115 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-2397

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Interoperability endpoints

  • Direct secure messaging: dmackay66397@valleychildrens-prd.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1043698616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Welch Rd Fl Stanford",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041503",
            "country_code": "US",
            "telephone_number": "650-673-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "172592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.