Individual provider Active NPI

Robert A Duke, M.D.

  • Diagnostic Radiology Physician
  • Calhoun City, MS
National Provider Identifier
1649220120
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11838 Issued in MS
Practice address
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone
(662) 628-6622
NPI assigned
May 12, 2006
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0108146 TN
Diagnostic Radiology Physician 2085R0202X 11838 MS Primary

Addresses

Primary practice location

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401
Phone (901) 227-4692

Other identifiers 2

IdentifierTypeStateIssuer
3035558MedicaidNE
108146OtherNEBC OF TENNESSEE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051031000891 TN Practitioner - Diagnostic Radiology 6709801228 Reassigns benefits to 1 organization
I20160315001799 MS Practitioner - Diagnostic Radiology 6709801228 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Pre Op and Imaging Center LLCGroup PAC ID 0840444998, 20 clinicians
Imaging Centers for Excellence, LLCGroup PAC ID 6406854538, 17 clinicians
Imaging Center at Gloster Creek Village PLLCGroup PAC ID 5991771255, 20 clinicians
Tate County HospitalGroup PAC ID 6103282165, 35 clinicians
Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians
Medical Imaging, LLCGroup PAC ID 5698731271, 20 clinicians
Premier Radiology IncGroup PAC ID 2769452242, 26 clinicians

Practice addresses (Care Compare)

1202 Office Park Dr
Suite a
Oxford, MS 38655-5267
Phone (662) 234-5545

1207 Hwy 182 W
Suite a
Starkville, MS 39759-9013
Phone (662) 320-6800

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211

320 S Gloster St
Tupelo, MS 38801-4748
Phone (662) 841-7880

3509 Hwy 4 W
Sarah, MS 38665-3567
Phone (662) 612-0311

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311

830 S Gloster St
Radiology Consultants
Tupelo, MS 38801-4934
Phone (662) 377-3000

891 Mississippi Dr
Tupelo, MS 38804-0934
Phone (662) 377-6800

9300 Ingleside Farm N
Germantown, TN 38139-6713
Phone (662) 842-1758

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13895TNMDEmergency Medicine Physician
0108146TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Radiology, Inc Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2024 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Dec 20, 2023 Accepting new patients
Tippah County Hospital Current Accepting new patients
Choctaw Regional Medical Center Current Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Tate County Hospital Current Accepting new patients
Medical Imaging, LLC Diagnostic Radiology CurrentSince Jul 19, 2024 Accepting new patients
Winston County Medical Foundation CurrentSince Feb 5, 2024 Accepting new patients
Imaging Center at Gloster Creek Village PLLC Diagnostic Radiology CurrentSince Jul 19, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2024 Accepting new patients
Tate County Hospital CurrentSince May 19, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Current Accepting new patients
Imaging Centers for Excellence, LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Wave Diagnostics LLC CurrentSince Jul 1, 2025 Accepting new patients
Oxford Pre Op & Imaging Center LLC CurrentSince Nov 19, 2023 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc Current Accepting new patients
North Mississippi Medcial Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Baptist Memorial Hospital - Calhoun, Inc Past Accepting new patients
Conrad Pearson Clinic Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Strayhorn Family Medical Clinic, LLC PastSince Jun 10, 2019 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668
Phone (662) 562-3100

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

1207 Highway 182 W
Ste A
Starkville, MS 39759
Phone (662) 320-6800

320 S Gloster St
Tupelo, MS 38801
Phone (662) 821-1831

620 Crossover Rd
#A
Tupelo, MS 38801

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19510/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 26

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 26

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1649220120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "0108146",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "11838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035558",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF TENNESSEE",
            "identifier": "108146",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun City, MS

Sources for this page

Verify at the official NPI Registry.