NPIMap

Individual provider Active NPI

Kristy Tayapongsak Duggan, M.D.

  • Internal Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1104211390
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019-00585 Issued in NC
Practice address
100 Hospital Dr
Hendersonville, NC 28792-5272
Phone
(828) 684-8501
NPI assigned
Apr 3, 2015
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD187192 OR
Internal Medicine Physician 207R00000X 2019-00585 NC Primary

Addresses

Primary practice location

100 Hospital Dr
Hendersonville, NC 28792-5272

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-8211

Other names 1

  • Kristy Ann-May Tayapongsak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107000659 NC Practitioner - Internal Medicine 7315254547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 681-2420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00585NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Jan 4, 2021 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Aug 24, 2019 Accepting new patients
Fletcher Hospital Inc CurrentSince Jan 4, 2021 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 24, 2019 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: kduggan659244@adventhealth.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1104211390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925272",
            "telephone_number": "828-684-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "KRISTY",
        "middle_name": "TAYAPONGSAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD187192",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-00585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "TAYAPONGSAK",
            "middle_name": "ANN-MAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.