Individual provider Active NPI

Pamela M Duke, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1285687855
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD067188L Issued in PA
Practice address
219 N Broad St
6TH FL
Philadelphia, PA 19107-1519
Phone
(215) 762-5037
Fax
(215) 762-5199
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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 MD067188L PA Primary

Addresses

Primary practice location

219 N Broad St
6TH FL
Philadelphia, PA 19107-1519

Mailing address

1601 Cherry St
Suite 111511
Philadelphia, PA 19102-1321
Phone (215) 255-3782

Other identifiers 1

IdentifierTypeStateIssuer
001774713MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100723000163 PA Practitioner - Internal Medicine 3072645225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Practice addresses (Care Compare)

1427 Vine St
Philadelphia, PA 19102-1031

219 N Broad St 6TH Floor
Drexel Internal Medicine
Philadelphia, PA 19107-1519
Phone (215) 762-5037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Current Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Tower Drexel Academic Medical Group LLC Internal Medicine Current Accepting new patients

Locations

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

Interoperability endpoints

  • Direct secure messaging: pduke18887@drexel.gardenplot.direct-ci.com

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1285687855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 111511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-3782",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "address_2": "6TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "215-762-5037",
            "fax_number": "215-762-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD067188L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001774713",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.