Rodrigo A Duralde, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

038224 Issued in GA

Practice address

1800 Peachtree St NW
Suite 400
Atlanta, GA 30309-2519

Phone

(404) 351-7654

Fax

(404) 609-7605

NPI assigned

May 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Interventional Pain Management

Education

University of Tennessee, HSC, College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Pain and Spine Associates, LLCGroup PAC ID 7517370299, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score

87.76 of 100Reported as group

Quality

82.18

Improvement activities

40

Cost

78.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD
• FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
• Direct secure messaging: rodrigo.duralde.1@22722.direct.athenahealth.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.

• Pca Interventional Spine at Fayette, LLC

  • Pain Clinic/Center
  • Fayetteville, GA
  • NPI 1447791074
  Medicare reassignment NPD Authorized official
• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1336744770
  Medicare reassignment Care Compare group NPD
• Pca Interventional Spine at Macquarium

  • Pain Clinic/Center
  • Atlanta, GA
  • NPI 1053719393
  Medicare reassignment Authorized official
• Pain Consultants of Atlanta LLC

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1942250865
  Medicare reassignment NPD
• Southern Pain and Spine Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1548059835

  Interventional Pain Medicine

  NPD
• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Jasper, GA
  • NPI 1093469355
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Hospital, Inc

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1265484208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092530",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Highway 54 W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144542",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3579 Highway 138 SE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816807",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURALDE",
        "first_name": "RODRIGO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "038224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000645103H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saeed Dupree
• Elizabeth Dupuis, MD
• Mark H Dupuis, MD
• Crystal Michelle Duque, RDN
• Anissa Ahuja Durairaj, M.D.
• Xavier Ampuero Duralde, MD
• Anthony Duran
• Barbara Duran
• Marc Anthony Duran, M.D.
• Kelly A Durand, PAAA

• Interventional Pain Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.

Verify at the official NPI Registry.