Individual provider Active NPI

Nathaniel Clifton Duke, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1538375456
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.129618 Issued in OH
Practice address
5647 Hollywood Blvd
Hollywood, FL 33021-6325
Phone
(954) 276-1616
Fax
(954) 276-0186
NPI assigned
May 15, 2007
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35.129618 OH
Hospitalist Physician 208M00000X 35.129618 OH
Internal Medicine Physician 207R00000X 35.129618 OH Primary

Addresses

Primary practice location

5647 Hollywood Blvd
Hollywood, FL 33021-6325

Mailing address

745 Haskins Rd
Suite B
Bowling Green, OH 43402-1637
Phone (419) 373-7607

Other practice location 1

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 373-7607

Other identifiers 1

IdentifierTypeStateIssuer
0193182MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nduke245559@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, ND3 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
I20170520000176 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 4284913021 Reassigns benefits to 5 organizations
I20180827001207 SC Practitioner - Internal Medicine 4284913021 Reassigns benefits to 6 organizations
I20190612002323 ND Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 4284913021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases of Mid-Florida, PAGroup PAC ID 9032123526, 4 clinicians

Practice addresses (Care Compare)

290 Clyde Morris Blvd
Suite D2
Ormond Beach, FL 32174-8204
Phone (386) 265-1021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.129618OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2020 Accepting new patients
St Alexius Medical Center CurrentSince May 17, 2019 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Aug 1, 2018 Accepting new patients
St. Alexius Medical Center CurrentSince May 17, 2019 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
South Broward Hospital District Infectious Disease CurrentSince Aug 1, 2020 Accepting new patients
Nathaniel Duke MD PA Infectious Disease Current Accepting new patients
Infectious Diseases of Mid-Florida, PA Internal Medicine CurrentSince Apr 16, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince May 26, 2019 Accepting new patients
Pelham Medical Center Current Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine CurrentSince Mar 24, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Mar 24, 2020 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Dec 19, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 13, 2020 Accepting new patients
Pelham Medical Center CurrentSince Jan 13, 2020 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients

Locations

301 Memorial Medical Pkwy
Ste 120
Daytona Beach, FL 32117

1150 N 35th Ave
Ste 135
Hollywood, FL 33021
Phone (954) 265-6989

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

5647 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 276-1616

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

290 Clyde Morris Blvd
Ste D2
Ormond Beach, FL 32174
Phone (386) 265-1021

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/
  • Direct secure messaging: nduke1331022@direct.ccf.org
  • Direct secure messaging: nduke245559@mhsdirect.net
  • Direct secure messaging: nduke261572@direct.leememorial.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1538375456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021637",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216325",
            "telephone_number": "954-276-1616",
            "fax_number": "954-276-0186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Wooster St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434022603",
            "country_code": "US",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "NATHANIEL",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.129618",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.129618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.129618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193182",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nduke245559@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5647 Hollywood Blvd",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.