Active NPI
Michael David Duchamp, DO
- Orthopaedic Surgery Physician
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H9894
- Practice address
- 1005 W Ralph Hall Pkwy
Suite 237
Rockwall, TX 75032-6658 - Phone
- (972) 772-8577
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H9894 | TX | Primary |
Addresses
Primary practice location
1005 W Ralph Hall Pkwy
Suite 237
Rockwall, TX 75032-6658
Mailing address
PO Box 506
Rockwall, TX 75087-0506
Phone (972) 772-8577
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096762204 | Medicaid | TX | |
| 096762203 | Medicaid | TX | |
| 200031546 | Other | TX | PTAN RAILROAD |
| DR6492 | Other | TX | PTAN RAILROAD |
| 215761201 | Medicaid | TX | |
| 0A5927 | Other | TX | PTAN |
| 8F23937 | Other | TX | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9894 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Hopkins County Hospital District | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Orthopaedic Surgery | Current | Accepting new patients |
| Rockwall Ambulatory Surgery Center LLP | Past | Accepting new patients |
Locations
105 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-3181
113 Airport Rd
Ste 200
Sulphur Springs, TX 75482
Phone (903) 439-2273
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- michaeldu@direct.hcmh.md
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Orthopaedic Surgery
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Rural Acute Care Hospital
- Sulphur Springs, TX
- NPI 1184618548
-
- Ambulatory Surgical Clinic/Center
- Heath, TX
- NPI 1891788584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1285728394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870506",
"telephone_number": "972-772-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W RALPH HALL PKWY",
"address_2": "SUITE 237",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326658",
"telephone_number": "972-772-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHAMP",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "H9894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096762204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096762203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN RAILROAD",
"identifier": "200031546",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN RAILROAD",
"identifier": "DR6492",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215761201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0A5927",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "8F23937",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.