Individual provider Active NPI

Christopher Jared Duplain, DO

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1255918512
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21473 Issued in FL
Practice address
3115 Citrus Tower Blvd Ste a
Clermont, FL 34711-6880
Phone
(407) 628-1081
NPI assigned
Mar 24, 2021
Reactivated
Oct 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21473 FL Primary

Addresses

Primary practice location

3115 Citrus Tower Blvd Ste a
Clermont, FL 34711-6880

Mailing address

300 N Pennsylvania Ave
Winter Park, FL 32789-3773
Phone (407) 628-1081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 16, 2024 through Oct 16, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21473FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Private Health MD PA Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

300 N Pennsylvania Ave
Winter Park, FL 32789
Phone (407) 628-1081

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIGBD/Endpoint/EEIGBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1255918512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893773",
            "telephone_number": "407-628-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116880",
            "telephone_number": "407-628-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLAIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "deactivation_date": "2024-10-03",
        "reactivation_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "21473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.