Individual provider Active NPI

Peter C Duic, MD

  • Emergency Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1508872128
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME84735 Issued in FL
Practice address
10730 State Road 54
Suite 104
New Port Richey, FL 34655-2217
Phone
(727) 372-3888
Fax
(727) 372-3820
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME84735 FL Primary

Addresses

Primary practice location

10730 State Road 54
Suite 104
New Port Richey, FL 34655-2217

Mailing address

5407 Breathless LN
Lutz, FL 33558-9091
Phone (813) 920-6175

Other identifiers 2

IdentifierTypeStateIssuer
264761300MedicaidFL
51364OtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050401000228 FL Practitioner - Emergency Medicine 5597712570 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84735FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Urgent Care Centers LLC CurrentSince Aug 1, 2007 Accepting new patients
Venice Emergency Medical Associates PA Emergency Medicine CurrentSince Jun 1, 2007 Accepting new patients
Baxley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Community Hospital Family Practice LLC Past Accepting new patients
Qed Medical Solutions, LLC Emergency Medicine Past Accepting new patients
Magnolia Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Capri Emergency Physicians Emergency Medicine Past Accepting new patients
West Florida Trauma Network, LLC Past Accepting new patients

Locations

10730 State Road 54
#104106
New Prt Rchy, FL 34655
Phone (727) 372-3888

4112 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-3288

10730 State Road 54
Ste 104
Trinity, FL 34655
Phone (727) 372-3888

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

621 Tamiami Trl S
Venice, FL 34285
Phone (941) 483-7449

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14213/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1508872128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 BREATHLESS LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589091",
            "telephone_number": "813-920-6175",
            "fax_number": "727-372-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 STATE ROAD 54",
            "address_2": "SUITE 104",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552217",
            "telephone_number": "727-372-3888",
            "fax_number": "727-372-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUIC",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME84735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264761300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "51364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.