Individual provider Active NPI

Deidra Ann Duncan, D.O.

  • Obstetrics & Gynecology Physician
  • Cape Coral, FL
National Provider Identifier
1356701080
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS16677 Issued in FL
Practice address
1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone
(239) 432-5858
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X OS16677 FL Primary

Addresses

Primary practice location

1265 Viscaya Pkwy
Cape Coral, FL 33990-3237

Mailing address

717 S Houston Ave
Tulsa, OK 74127-9023
Phone (918) 586-4522

Other practice location 1

5700 Lee Blvd
Lehigh Acres, FL 33971-6355
Phone (239) 432-5858

Other practice location 2

9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone (239) 432-5858

Other practice location 3

717 S Houston Ave
Tulsa, OK 74127-9023
Phone (918) 586-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200625002757 FL Practitioner - Obstetrics/Gynecology 0345662037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone (239) 574-2229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16677FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337

1606 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-2229

9021 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 432-5858

3230 Forum Blvd
Fort Myers, FL 33905
Phone (239) 432-5858

5700 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 481-5437

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1356701080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-586-4522",
            "fax_number": "918-586-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 VISCAYA PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903237",
            "telephone_number": "239-432-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339716355",
            "country_code": "US",
            "telephone_number": "239-432-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9021 Park Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089617",
            "country_code": "US",
            "telephone_number": "239-432-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 S Houston Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279023",
            "country_code": "US",
            "telephone_number": "918-586-4522",
            "fax_number": "918-586-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DEIDRA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS16677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.