NPIMap

Individual provider Active NPI

Derek A Duke, M.D.

  • Neurological Surgery Physician
  • Henderson, NV
National Provider Identifier
1619934916
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
8979 Issued in NV
Practice address
861 Coronado Center Dr
Suite 200
Henderson, NV 89052
Phone
(702) 896-0940
Fax
(702) 896-6173
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 8979 NV Primary
Neurological Surgery Physician 207T00000X 36583 AZ

Addresses

Primary practice location

861 Coronado Center Dr
Suite 200
Henderson, NV 89052

Mailing address

PO Box 95306
Las Vegas, NV 89193-5306
Phone (702) 896-0940

Other identifiers 3

IdentifierTypeStateIssuer
140006030OtherNVRAILROAD MEDICARE
1619934916MedicaidNV
468662MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001502 NV Practitioner - Neurosurgery 8527056837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians
Duke Forage Anson Neurosurgical LLPGroup PAC ID 3375676513, 10 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Bullhead City, AZ 86442-7522

861 Coronado Ctr Dr
Suite 200
Henderson, NV 89052-3992
Phone (702) 896-0940

Hospital & facility affiliations

  • Connolly Care Home health agency, Las Vegas, NV, CCN 297236
  • Valley View Home Health Care LLC Home health agency, Las Vegas, NV, CCN 297186
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as group
Quality
95.07
Promoting interoperability
96
Improvement activities
40
Cost
70.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion548
Laminectomy or laminotomy (partial removal of spine bones)365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36583AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Forage Anson Neurosurgical LLP Neurological Surgery CurrentSince Jul 1, 2010 Accepting new patients
Duke Forage Anson Neurosurgical LLP Neurological Surgery CurrentSince Jul 1, 2010 Accepting new patients
Henderson Hospital Past Accepting new patients
Agata-Venger Partnership Neurological Surgery PastSince Jul 23, 2018 Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

2767 Silver Creek Rd
Ste B
Bullhead City, AZ 86442
Phone (702) 243-4700

1972 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (702) 896-0940

861 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 896-0940

8530 W Sunset Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 851-0792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/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.

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1619934916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935306",
            "telephone_number": "702-896-0940",
            "fax_number": "702-896-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-896-0940",
            "fax_number": "702-896-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "DEREK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "8979",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "36583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140006030",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619934916",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.