Eduardo Visitacion Duquez Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Enumclaw, WA
NPI 1285079145 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1285079145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60646799 (WA)
- Practice address
- 3021 Griffin Ave
Enumclaw, WA 98022-2369 - Phone
- (360) 825-6511
- Fax
- (253) 274-7993
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Hawaii John a. Burns School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Select Rehabilitation, LLC
Franciscan Medical Group
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
3021 Griffin Ave
Enumclaw, WA 98022-2369
Phone (360) 825-6511
Hospital & facility affiliations
- CHI Franciscan Health at Home
- St Joseph Medical Center
- St Elizabeth Hospital
- St Francis Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160830001124 | WA | Practitioner - Family Practice |
7315250719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60646801 | WA | MD | Family Medicine Physician |
| MD60646799 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Current |
Accepting new patients | |
| Enumclaw Regional Hospital Association | Past | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Past | Accepting new patients |
Locations
3021 Griffin Ave
#7201
Enumclaw, WA 98022
3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- eduquez253864@fhsce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60646801 | WA | |
| Family Medicine Physician | 207Q00000X | Q2761 | TX | |
| Family Medicine Physician | 207Q00000X | MD60646799 | WA | Yes |
Addresses
Primary practice location
3021 Griffin Ave
Enumclaw, WA 98022-2369
Mailing address
3021 Griffin Ave
Enumclaw, WA 98022-2369
Phone (360) 825-6511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061924 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eduquez253864@fhsce.catholichealth.net | Direct |
Other providers in Enumclaw, WA
- Discovery Practice Management, Inc.
- Ashley Doerr Patterson
- Heidi Kimberly Nichole Duffield
- Brandon Duffy
- Kristopher S. Dunbrack
- Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa
- Dennis Ray Eldridge
- John Richard Endres
- Enumclaw Family Chiropractic PLLC
- Enumclaw Family Optometry Clinic PS
All providers in Enumclaw, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.