Individual provider Active NPI

Alexis R Duke, MD

  • Dermatology Physician
  • Houma, LA
National Provider Identifier
1396936654
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.202760 Issued in LA
Practice address
12 Professional Dr
Houma, LA 70360
Phone
(985) 868-1810
Fax
(985) 868-1810
NPI assigned
Aug 1, 2007
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.202760 LA Primary
Internal Medicine Physician 207R00000X PGY.1.EKL LA

Addresses

Primary practice location

12 Professional Dr
Houma, LA 70360

Mailing address

12 Professional Dr
Houma, LA 70360
Phone (985) 868-1810

Other identifiers 1

IdentifierTypeStateIssuer
1005321MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110921000039 LA Practitioner - Dermatology 2668643701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Neal Medical LLCGroup PAC ID 3779812557, 3 clinicians

Practice addresses (Care Compare)

12 Professional Dr
Houma, LA 70360-4046
Phone (985) 868-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
77.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions650
Removal or shaving of skin growth1-10
Skin biopsy418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PGY.1.EKLLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Wilder, Apmc Current Accepting new patients
P Mark Neal MD LLC Current Accepting new patients
Duke Neal Medical, LLC Dermatology CurrentSince Jul 23, 2019 Accepting new patients

Locations

12 Professional Dr
Houma, LA 70360
Phone (601) 918-1038

Organizations & group practices 3

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.

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1396936654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-868-1810",
            "fax_number": "985-876-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-868-1810",
            "fax_number": "985-868-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "ALEXIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "MD.202760",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "PGY.1.EKL",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.