Robert Kelso Duddy, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000512 Issued in MO

Practice address

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029

Phone

(314) 432-1903

Fax

(314) 432-5105

NPI assigned

Jul 31, 2006

Last updated

Oct 25, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.29 of 100Reported as group

Promoting interoperability

79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rduddy@usfas.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Next Step Foot and Ankle Centers, Inc

  • Podiatrist
  • Saint Louis, MO
  • NPI 1518938919

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Mid-West Podiatry and Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Creve Coeur, MO
  • NPI 1609906577
  Authorized official Same address or phone
• Next Step Foot & Ankle Centers, Inc

  • Podiatrist
  • O'Fallon, IL
  • NPI 1356178610

  Foot & Ankle Surgery

  NPD
• Center for Advanced Foot & Ankle Surgery Inc

  dba MO Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1174595409
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1386650414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419074",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631419074",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDY",
        "first_name": "ROBERT",
        "middle_name": "KELSO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rae Doyle, OT
• Dr. Brandon Kratz DDS LLC (Creve Coeur Family and Sedation Dentistry)
• Ellen M Dresbach, OTR/L
• Susan Cerneka Dreyer, O.D.
• Angeline Duane, LCSW
• Danielle Leigh Duis, MSCCCSLP
• Julia Dunavant, SLP
• Timothy P Dunn, M.D.
• Ida Duplantier
• Nedim Durakovic, MD

• Foot & Ankle Surgery Podiatrist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.