Individual provider Active NPI

Jay S. Duker, M.D.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Boston, MA
National Provider Identifier
1508820838
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
72229 Issued in MA
Practice address
800 Washington St
# 450
Boston, MA 02111-1552
Phone
(617) 636-4677
Fax
(617) 636-4866
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 72229 MA
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 72229 MA Primary

Addresses

Primary practice location

800 Washington St
# 450
Boston, MA 02111-1552

Mailing address

800 Washington St
#450
Boston, MA 02111-1552
Phone (617) 636-4677

Other identifiers 1

IdentifierTypeStateIssuer
3068030MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050407000839 MA Practitioner - Ophthalmology 2567439060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Pratt Ophthalmology Associates, Inc CurrentSince Apr 23, 1990 Accepting new patients
Pratt Ophthalmology Associates Inc CurrentSince Apr 23, 1990 Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

750 Washington St
Boston, MA 02111
Phone (617) 636-4600

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#450
Boston, MA 02111
Phone (617) 636-4600

Interoperability endpoints

  • Direct secure messaging: jduker29415@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1508820838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "#450",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-4677",
            "fax_number": "617-636-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "# 450",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-4677",
            "fax_number": "617-636-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKER",
        "first_name": "JAY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "72229",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MA",
            "license": "72229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068030",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.