Individual provider Active NPI

Susan E Duke, DO

  • Internal Medicine Physician
  • Ozark, MO
National Provider Identifier
1477577708
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2309 Issued in TX
Practice address
1200 W Nettle CT
Ozark, MO 65721-8097
Phone
(214) 326-7743
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013009349 MO
Internal Medicine Physician 207R00000X M2309 TX Primary

Addresses

Primary practice location

1200 W Nettle CT
Ozark, MO 65721-8097

Mailing address

1200 W Nettle CT
Ozark, MO 65721-8097
Phone (214) 326-7743

Other practice location 1

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050915001133 TX Practitioner - Internal Medicine 7214960632 Reassigns benefits to 3 organizations
I20140219001946 MO Practitioner - Internal Medicine 7214960632 Reassigns benefits to 2 organizations
I20140707001037 WA Practitioner - Internal Medicine 7214960632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLC 685 clinicians
Lester E Cox Medical Centers 240 clinicians

Practice addresses (Care Compare)

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-7820

3801 S National Ave
Springfield, MO 65807-6090
Phone (417) 269-7728

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Ozarks Medical Center CurrentSince Jun 23, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 6, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 6, 2025 Accepting new patients
Mobile Medicine of Texas PA PastSince Oct 9, 2006 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Past Accepting new patients
Claremore Physicians LLC Past Accepting new patients
Extended Medical Management Services, Inc. Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

Locations

3801 S National Ave
Ste 1122
Springfield, MO 65807

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Interoperability endpoints

  • Direct secure messaging: sduke72487@direct.peacehealth.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1477577708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W NETTLE CT",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218097",
            "telephone_number": "214-326-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W NETTLE CT",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218097",
            "telephone_number": "214-326-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-269-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2013009349",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.