Brendan K Duffy, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Canton, OH
NPI 1497712699 · NPPES record last updated Jan 10, 2013
Key facts
- NPI
- 1497712699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 35083704 (OH)
- Practice address
- 2600 6TH St SW Ste A2-710
Canton, OH 44710-1702 - Phone
- (330) 454-8076
- Fax
- (330) 454-3927
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aultman Deuble Heart and Vascular Hospital, LLC
Practice addresses (Care Compare)
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076
Hospital & facility affiliations
- Aultman Hospital
- Aultman Orrville Hospital
- Alliance Community Hospital
- Twin City Medical Center
- Pomerene Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.19 of 100
- Quality
- 63.25
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.4
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 59 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060803000432 | OH | Practitioner - Interventional Cardiology |
3971516253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083704 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Deuble Heart & Vascular Hospital, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Canton Aultman Emergency Physicians Inc | Current | Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Past | Accepting new patients | |
| Primary Care Assoc of N | Past | Accepting new patients | |
| Cardiovascular Consultants, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| North Ohio Heart Center Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
2600 6th St SW
Ste A2800
Canton, OH 44710
2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656
2600 6th St SW
Ste 710
Canton, OH 44710
1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091
1168 Alliance Rd NW
Minerva, OH 44657
Phone (330) 868-3711
Interoperability endpoints
- brendan.duffy@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 35083704 | OH | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 35083704 | OH |
Addresses
Primary practice location
2600 6TH St SW Ste A2-710
Canton, OH 44710-1702
Mailing address
2600 6TH St SW Ste A2-710
Canton, OH 44710-1702
Phone (330) 454-8076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4185251 | Medicaid | OH |
Other providers in Canton, OH
- DRS. Rossetti & Fanno, Inc.
- Letitia Drue
- Kristina Marie Drummer
- Anna Drzik
- Michelle Renee Dudek
- Hannah N Dugan
- Stacey Ann Dugan
- Kanika Duggal
- Stephanie A. Duke
- Krista Dulaney
All providers in Canton, OH · Interventional Cardiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.