Individual provider Active NPI

Deandrea Yvonne Duffus, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Debary, FL
National Provider Identifier
1073808200
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3632 Issued in FL
Practice address
110 Pond CT
Ste 101
Debary, FL 32713-2717
Phone
(386) 777-3266
Fax
(386) 774-9096
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3632 FL Primary

Addresses

Primary practice location

110 Pond CT
Ste 101
Debary, FL 32713-2717

Mailing address

PO Box 530730
Debary, FL 32753-0730
Phone (904) 355-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128001901 FL Practitioner - Podiatry 2466755251 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Pond CT
Suite 101
Debary, FL 32713-2717
Phone (386) 777-3266

Hospital & facility affiliations

  • Accentcare Home Health of Daytona Home health agency, Ormond Beach, FL, CCN 108284
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of nail tissue91
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Volusia County Podiatry Inc Foot & Ankle Surgery CurrentSince Jun 28, 2019 Accepting new patients

Locations

110 Pond Ct
Ste 101
Debary, FL 32713
Phone (386) 777-3266

110 Pond Ct
Ste 303
Debary, FL 32713
Phone (386) 337-3525

905 Historic Goldsboro Blvd
Sanford, FL 32771
Phone (386) 777-3266

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: deandrea.duffus@vcpi-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 4

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1073808200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530730",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327530730",
            "telephone_number": "904-355-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POND CT",
            "address_2": "STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132717",
            "telephone_number": "386-777-3266",
            "fax_number": "386-774-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFUS",
        "first_name": "DEANDREA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.