Frederick J Duffy Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K2452 Issued in TX

Practice address

12201 Merit Dr
Suite 440
Dallas, TX 75251-2122

Phone

(469) 501-1466

Fax

(469) 501-1465

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1987

Medicare assignment

May accept Medicare assignment

Group practices

Texas Center for Breast ReconstructionGroup PAC ID 3375581275, 2 clinicians

Sage Plastic Surgery, PLLCGroup PAC ID 0446622286, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/PBxXyBpjIJSsFZVJZMPquS1RJJ3_fyh3/

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.

• Sage Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1285371401

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Texas Center for Breast Reconstruction

  dba Frederick J. Duffy Jr MD PA

  • Plastic Surgery Physician
  • Dallas, TX
  • NPI 1992708721

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Urgent Surgery Associates, P.a.

  • Trauma Surgery Physician
  • Dallas, TX
  • NPI 1326077082

  Single Specialty

  Medicare reassignment NPD (past)
• Pediatric Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1558419358

  Single Specialty

  NPD (past)

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

• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  dba Medical City Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1376546101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512122",
            "telephone_number": "469-501-1466",
            "fax_number": "469-501-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512122",
            "telephone_number": "469-501-1466",
            "fax_number": "469-501-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K2452",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "K2452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - INDIVIDUAL",
            "identifier": "250010502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DG1038",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120616104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ines Duenas, MD
• Daniella Duero
• Dufek Massif Hospital Corporation (University General Hospital Dallas)
• Kenyatta Moniece Duffin, LVN
• Amber Duffins
• Katie Ann Duffy, PHYSICIAN ASSISTANT
• Christopher Dufour
• Elizabeth Ashley Duggan, OTR
• Jennifer Dugger, PNP
• Erin Marie Duhaime, PA-C

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.