Active NPI
Conrad J Duncan, M.D.
- Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0045495
- Practice address
- 3407 Wilkens Ave
Suite 210
Baltimore, MD 21229-5072 - Phone
- (410) 644-0929
- Fax
- (410) 664-4338
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | D0045495 | MD | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | D0045495 | MD |
Addresses
Primary practice location
3407 Wilkens Ave
Suite 210
Baltimore, MD 21229-5072
Mailing address
25 Crossroads Dr
Suite 306
Owings Mills, MD 21117-5421
Phone (443) 738-2872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005525500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Yale University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3449 Wilkens Ave
Baltimore, MD 21229-5216
3449 Wilkens Ave
Baltimore, MD 21229-5218
6740 Alexander Bell Dr
Columbia, MD 21046-2249
900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0045495 | MD | MD | Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
3449 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 747-4080
3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685
700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038
6740 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (410) 997-8444
Interoperability endpoints
- cduncan131330@direct.hopkinsmedicine.org
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Urology Physician
- Seaford, DE
- NPI 1043719123
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1154390714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CROSSROADS DR",
"address_2": "SUITE 306",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175421",
"telephone_number": "443-738-2872",
"fax_number": "443-738-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 WILKENS AVE",
"address_2": "SUITE 210",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295072",
"telephone_number": "410-644-0929",
"fax_number": "410-664-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CONRAD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0045495",
"primary": true
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "MD",
"license": "D0045495",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005525500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.