Individual provider Active NPI

Christopher Matthew Duffy, PA

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1649817552
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9112579 Issued in FL
Practice address
2123 Grove St
Sarasota, FL 34239-4622
Phone
(239) 209-1415
NPI assigned
Dec 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9112579 FL Primary

Addresses

Primary practice location

2123 Grove St
Sarasota, FL 34239-4622

Mailing address

2123 Grove St
Sarasota, FL 34239-4622
Phone (239) 209-1415

Other names 1

  • Christopher Duffy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114000264 FL Practitioner - Physician Assistant 8325473754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy White and Riggs Orthopedic AssociatesGroup PAC ID 0840185310, 36 clinicians

Practice addresses (Care Compare)

6050 Cattleridge Blvd
Sarasota, FL 34232-6014
Phone (941) 365-0655

Hospital & facility affiliations

  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112579FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy White & Riggs Orthopedic Associates Orthopaedic Surgery CurrentSince Feb 21, 2025 Accepting new patients

Locations

6050 Cattleridge Blvd
Ste 201
Sarasota, FL 34232
Phone (941) 365-0655

Interoperability endpoints

  • Direct secure messaging: cmd@kwoc1429.srs-direct.com

Organizations & group practices 3

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 3

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1649817552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 GROVE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394622",
            "telephone_number": "239-209-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 GROVE ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394622",
            "telephone_number": "239-209-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9112579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "DUFFY",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.