Individual provider Active NPI

Wilbur Don Bayuga Duque, MD

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1548464100
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41974 Issued in AZ
Practice address
1773 W 24TH St Ste B
Yuma, AZ 85364-6230
Phone
(928) 955-0002
Fax
(844) 260-2871
NPI assigned
Jun 14, 2007
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41974 AZ Primary

Addresses

Primary practice location

1773 W 24TH St Ste B
Yuma, AZ 85364-6230

Mailing address

1773 W 24TH St Ste B
Yuma, AZ 85364-6230
Phone (928) 955-0002

Other identifiers 1

IdentifierTypeStateIssuer
3853760993OtherMYUTMB 3853760993-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090911000559 AZ Practitioner - Family Practice 4082769252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1773 W 24TH St
Suite C
Yuma, AZ 85364-6230
Phone (928) 955-0002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41974AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilbur Don Duque MD PC Family Medicine CurrentSince May 1, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1773 W 24th St
Ste B
Yuma, AZ 85364
Phone (928) 344-8748

1773 W 24th St
Ste C
Yuma, AZ 85364
Phone (502) 317-0919

2281 W 24th St
Ste 15
Yuma, AZ 85364
Phone (928) 276-9761

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJFBD/Endpoint/CGJFBD

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1548464100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646230",
            "telephone_number": "928-955-0002",
            "fax_number": "844-260-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646230",
            "telephone_number": "928-955-0002",
            "fax_number": "844-260-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "WILBUR DON",
        "middle_name": "BAYUGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "41974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3853760993-COMMERCIAL NUMBER",
            "identifier": "3853760993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.