Individual provider Active NPI

Robert Thomas Duffey, MD

  • Pediatrics Physician
  • Hendersonville, NC
National Provider Identifier
1457550386
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009-01068 Issued in NC
Practice address
600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305
Phone
(828) 693-3296
Fax
(828) 696-3530
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009-01068 NC Primary

Addresses

Primary practice location

600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305

Mailing address

600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305
Phone (828) 693-3296

Other identifiers 1

IdentifierTypeStateIssuer
5912715MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150226000195 NC Order and Referring Only - Family PracticePractitioner - Family Practice 9739405366

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1457550386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HANKS CTR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922305",
            "telephone_number": "828-693-3296",
            "fax_number": "828-696-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HANKS CTR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922305",
            "telephone_number": "828-693-3296",
            "fax_number": "828-696-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFEY",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-01068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.