Individual provider Active NPI

Douglas David Duncan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chesapeake, VA
National Provider Identifier
1457337107
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0101245575 Issued in VA
Practice address
637 Kingsborough SQ Ste D
Chesapeake, VA 23320-4944
Phone
(757) 746-5342
Fax
(833) 954-0875
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101245575 VA
Orthopaedic Surgery Physician 207X00000X 4301091324 MI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101245575 VA Primary

Addresses

Primary practice location

637 Kingsborough SQ Ste D
Chesapeake, VA 23320-4944

Mailing address

PO Box 4222
Virginia Beach, VA 23454-0222
Phone (757) 746-5342

Other practice location 1

171 Kempsville Rd Fl 1
Norfolk, VA 23502-4700
Phone (757) 746-5342

Other identifiers 3

IdentifierTypeStateIssuer
1982244083OtherVACORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST
1982244083MedicaidVA
J829OtherVACORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ProOrtho4Christ@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101112000377 VA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 8224223557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

637 Kingsborough SQ
Suite D
Chesapeake, VA 23320-4944
Phone (757) 746-5342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301091324MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Professional Orthopaedics Sports 4 Christ LLC Orthopaedic Surgery CurrentSince Dec 26, 2019 Accepting new patients

Locations

1100 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 389-5370

637 Kingsborough Sq
Ste D
Chesapeake, VA 23320
Phone (757) 215-1400

171 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 746-5342

Interoperability endpoints

  • Direct secure messaging: douglas.duncan.1@21511.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21511/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1457337107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4222",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234540222",
            "telephone_number": "757-746-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 KINGSBOROUGH SQ STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204944",
            "telephone_number": "757-746-5342",
            "fax_number": "833-954-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Kempsville Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024700",
            "country_code": "US",
            "telephone_number": "757-746-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DOUGLAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101245575",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301091324",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101245575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST",
            "identifier": "1982244083",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982244083",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST",
            "identifier": "J829",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ProOrtho4Christ@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records on day at location",
            "address_1": "637 Kingsborough Sq Ste D",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.