Active NPI
Rafael O Duchesne, M.D.
- Nephrology Physician
- Dalton, GA
National Provider Identifier
1588657332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 041424
- Practice address
- 1506 Broadrick Dr
Dalton, GA 30720-3011 - Phone
- (706) 278-3430
- Fax
- (706) 279-1327
- NPI assigned
- Aug 26, 2005
- Last updated
- Feb 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 041424 | GA | Primary |
Addresses
Primary practice location
1506 Broadrick Dr
Dalton, GA 30720-3011
Mailing address
1506 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-3430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00867061A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Emory University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1506 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-3430
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 77.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041424 | GA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology & Hypertension Specialists PC | Nephrology | Current | Accepting new patients |
| Hamilton Physician Group Inc | Past | Accepting new patients |
Locations
1506 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-3430
Interoperability endpoints
- rduchesne25991@direct.acumenmd.com
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.
-
- Nephrology Physician
- Dalton, GA
- NPI 1720295561
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba U S Renal Care Calhoun Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Calhoun, GA
- NPI 1497706527
Dialysis facility
-
dba US Renal Care Dalton Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dalton, GA
- NPI 1538461884
Dialysis facility
-
dba US Renal Care Murray County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chatsworth, GA
- NPI 1215239538
Dialysis facility
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1588657332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307203011",
"telephone_number": "706-278-3430",
"fax_number": "706-279-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307203011",
"telephone_number": "706-278-3430",
"fax_number": "706-279-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHESNE",
"first_name": "RAFAEL",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "041424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00867061A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.