Individual provider Active NPI

Jacob Starr Duker, MD

  • Retina Specialist (Ophthalmology) Physician
  • Providence, RI
National Provider Identifier
1467807222
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
18609 Issued in RI
Practice address
120 Dudley St Ste 303
Providence, RI 02905-2429
Phone
(401) 369-7773
NPI assigned
Apr 29, 2016
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 18609 RI Primary

Addresses

Primary practice location

120 Dudley St Ste 303
Providence, RI 02905-2429

Mailing address

120 Dudley St Ste 303
Providence, RI 02905-2429

Other practice location 1

2138 Mendon Rd Ste 101B
Cumberland, RI 02864-3832
Phone (401) 205-1759

Other practice location 2

55 Lambert Lind Hwy
Warwick, RI 02886-1074
Phone (401) 369-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220804001092 RI Practitioner - Ophthalmology 6103116785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Robert H. Janigian Jr. MD LLCGroup PAC ID 8426107863, 5 clinicians

Practice addresses (Care Compare)

1 Hoppin St
Suite 202
Providence, RI 02903-4141
Phone (401) 444-6551

120 Dudley St
Suite 303
Providence, RI 02905-2429
Phone (401) 369-7773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18609RIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Robert H. Janigian Jr. MD LLC Retina Specialist CurrentSince Sep 1, 2022 Accepting new patients

Locations

2138 Mendon Rd
Ste 101B
Cumberland, RI 02864
Phone (401) 305-7604

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551

120 Dudley St
Ste 303
Providence, RI 02905
Phone (401) 369-7773

55 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 369-7773

Interoperability endpoints

  • Direct secure messaging: jduker@janretina.intellechartdirect.net
  • Direct secure messaging: jduker29937@tuftsmedicine.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1467807222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST STE 303",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST STE 303",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052429",
            "telephone_number": "401-369-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2138 Mendon Rd Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643832",
            "country_code": "US",
            "telephone_number": "401-205-1759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lambert Lind Hwy",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861074",
            "country_code": "US",
            "telephone_number": "401-369-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKER",
        "first_name": "JACOB",
        "middle_name": "STARR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "RI",
            "license": "18609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.