Ralph J Duda Jr., M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

R7G82 Issued in MO

Practice address

909 E Republic Rd Ste D200
Springfield, MO 65807-6012

Phone

(417) 883-7889

Fax

(417) 890-6151

NPI assigned

Oct 4, 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 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ahs Oklahoma Heart LLC

  dba Oklahoma Heart Institute

  • Specialist
  • Tulsa, OK
  • NPI 1780857540
  Medicare reassignment NPD
• 417 Rheumatology LLC

  • Rheumatology Physician
  • Springfield, MO
  • NPI 1902448426
  NPD
• Clinvest Research LLC.

  • Research Clinic/Center
  • Springfield, MO
  • NPI 1326499260
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Integris Cardiovascular Physicians LLC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1306129598
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1356436406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E REPUBLIC RD STE D200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076012",
            "telephone_number": "417-883-7889",
            "fax_number": "417-890-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E REPUBLIC RD STE D200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076012",
            "telephone_number": "417-883-7889",
            "fax_number": "417-890-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "RALPH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "R7G82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P00266673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "16610",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lalaine S Duaban, OTR
• Robert L Dubinick, D.C.
• Kamryn L Ducker
• Margaret Jane Duckworth, LCSW
• Jordan Duda, CNP
• Sarah Duda, MD
• Kelly Rose Dudley, LCSW
• Judy Marie Duerkop, M.S.
• Ashley N. Duey, FNP
• Duff Family Dental, LLC

• Endocrinology, Diabetes & Metabolism Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.

Verify at the official NPI Registry.