NPIMap

Organization Active NPI

John Richard Duke Sr MD PLLC Dba Duke Medical

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1093947418
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN RICHARD DUKE SR MD PLLC DBA DUKE MEDICAL
Practice address
705 Santa Fe Dr
Searcy, AR 72143-6964
Phone
(501) 268-3853
Fax
(501) 268-3856
NPI assigned
Aug 18, 2009
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
John Richard DukeNPI 1356301147
Title
MD/Owner
Phone
(501) 268-3853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X E-0540 AR
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

705 Santa Fe Dr
Searcy, AR 72143-6964

Mailing address

705 Santa Fe Dr
Searcy, AR 72143-6964
Phone (501) 268-3853

Other identifiers 2

IdentifierTypeStateIssuer
128982001MedicaidAR
P00205492OtherARRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000059 AR Part B Supplier - Clinic/Group Practice 6709931173 Receives reassigned benefits from 11 practitioners
Practice locations: Searcy, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1105559Duke Medical705 Santa Fe Drive, Searcy, AR 72143Provider-performed microscopySep 23, 2027

National Provider Directory

National Provider Directory

Locations

705 Santa Fe Dr
Searcy, AR 72143
Phone (501) 268-3853

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1093947418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-268-3853",
            "fax_number": "501-268-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-268-3853",
            "fax_number": "501-268-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RICHARD DUKE SR MD PLLC DBA DUKE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "501-268-3853"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "E-0540",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128982001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00205492",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.