Stephen D Duffy, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

31460 Issued in SC

Practice address

950 S Arroyo Pkwy Ste 310
Pasadena, CA 91105-3930

Phone

(626) 449-4859

Fax

(626) 403-0311

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive Surgery

Education

Icahn School of Medicine at Mount Sinai, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premiere Plastic Surgery IncGroup PAC ID 4789867243, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: premieresurgical.stephendavidduffy@144321.advancedmd-direct.com

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.

• Premiere Plastic Surgery Inc

  • Specialist
  • Pasadena, CA
  • NPI 1336319441

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Premiere Surgical Specialists, a Professional Corporation

  • Surgery Physician
  • Pasadena, CA
  • NPI 1710319017
  NPD

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1073763447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "31460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "161184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al C. Dueck, PH.D,
• Shannon Duell
• Litzy Duenas
• Vanessa Vizcarra Duenas
• Taryn Duenes
• Cari Dugas
• Richa Duggal, LCSW
• Kyla Elchen Duhart
• Jennifer J Duke, MFT
• Thomas Charles Duke, PH.D.

• Plastic Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.