Individual provider Active NPI

Joel David Duff, MD

  • Urology Physician
  • Brookhaven, MS
National Provider Identifier
1386038651
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1G0841 Issued in MS
Practice address
425 Highway 51 N
Brookhaven, MS 39601-2350
Phone
(601) 833-5713
Fax
(601) 748-7063
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1G0841 MS Primary

Addresses

Primary practice location

425 Highway 51 N
Brookhaven, MS 39601-2350

Mailing address

425 Highway 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-5713

Other identifiers 1

IdentifierTypeStateIssuer
14935523OtherMSCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200824003039 MS Practitioner - Urology 0446568117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookhaven Urology, PAGroup PAC ID 9638227804, 3 clinicians

Practice addresses (Care Compare)

425 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-5713

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
79.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1G0841MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Urology, PA Urology CurrentSince Aug 1, 2020 Accepting new patients

Locations

425 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-5713

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc06681_brookhavenurology
  • Direct secure messaging: joelduff@bhav.medalliesdirect.net

Organizations & group practices 1

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 4

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1386038651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012350",
            "telephone_number": "601-833-5713",
            "fax_number": "601-748-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012350",
            "telephone_number": "601-833-5713",
            "fax_number": "601-748-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "1G0841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14935523",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.