Kevin A Duffy, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002818 Issued in MI

Practice address

4052 Legacy Pkwy
Suite 200
Lansing, MI 48911-4285

Phone

(517) 272-9700

NPI assigned

Oct 26, 2005

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.duffy.p1@direct.glcor.nextgenshare.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.

• Joshua P June DO

  • Rheumatology Physician
  • Lansing, MI
  • NPI 1548717580
  Medicare reassignment
• Beals Institute PC

  • Rheumatology Physician
  • Lansing, MI
  • NPI 1952498198
  NPD (past)
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)
• Mark L. Davis, DO PC

  • Orthopaedic Surgery Physician
  • Lansing, MI
  • NPI 1538564075
  NPD (past)
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD (past)
• Mid-Michigan Orthopaedics

  • Orthopaedic Surgery Physician
  • Owosso, MI
  • NPI 1447218177

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1164412565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY",
            "address_2": "SUITE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285",
            "telephone_number": "517-272-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY",
            "address_2": "SUITE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285",
            "telephone_number": "517-272-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysti Dudley
• Leah Kay Duehmig
• Alexis Dominique Duell
• Paul Duff, CSW
• Eric A Duffield, P.A
• Nick Dukaj
• Travis Dukes
• William Dumm, RN
• Alexis A Dunham, PRC
• Kelsie J Dunham

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.