Marco Antonio Duarte, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

80-141 Issued in NM

Practice address

4532 N. Mesa St.
3Rd Floor Ste 301
El Paso, TX 79912-6286

Phone

(915) 317-5077

Fax

(505) 842-8025

NPI assigned

Dec 20, 2005

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mduarte7749@ahs.direct-ci.com

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.

• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136
  Medicare reassignment NPD
• Women's Cancer and Surgical Care PC

  • Gynecologic Oncology Physician
  • Albuquerque, NM
  • NPI 1871728840
  Medicare reassignment NPD
• PHC Las Cruces Inc

  dba ID Consultants

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1942581202
  NPD
• United Theranostics New Mexico, LLC

  dba United Theranostics

  • Nuclear Medicine Physician
  • Las Cruces, NM
  • NPI 1437900768
  NPD
• Albuquerque Dermatology Associates, PA

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1821045329
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1639155765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092117",
            "telephone_number": "505-559-4495",
            "fax_number": "505-842-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N. MESA ST.",
            "address_2": "3RD FLOOR STE 301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126286",
            "telephone_number": "915-317-5077",
            "fax_number": "505-842-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "80-141",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R4383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02923",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00471231",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Duarte Larriva
• Alberto Duarte, MA, LPC
• Daisy Duarte
• Hillary Duarte, FNP-C
• Jessica Victoria Duarte
• Sandra Duarte, S.L.P.
• Sydney Isabelle Duarte
• Victor Hugo Duarte
• Yohana Edith Duarte, LCSW
• Erin Elizabeth Dube, RBT

• Obstetrics & Gynecology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.