Individual provider Active NPI

Brian E Duff, MD

  • Otology & Neurotology Physician
  • Providence, RI
National Provider Identifier
1659489714
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
MD09153 Issued in RI
Practice address
830 Eddy St
Providence, RI 02905-4810
Phone
(401) 272-2300
Fax
(401) 521-1824
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X MD09153 RI Primary

Addresses

Primary practice location

830 Eddy St
Providence, RI 02905-4810

Mailing address

830 Eddy St
Providence, RI 02905-4810
Phone (401) 274-2300

Other identifiers 1

IdentifierTypeStateIssuer
9020308MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20040813000952 RI Practitioner - Otolaryngology 0941273411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Otolaryngology-Head and Neck Surgery, Inc.Group PAC ID 3274613930, 19 clinicians

Practice addresses (Care Compare)

1351 S County TRL
East Greenwich, RI 02818-5083

830 Eddy St
Providence, RI 02905-4810
Phone (401) 885-8484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09153RIMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology-Head and Neck Surgery, Inc. CurrentSince Dec 1, 2007 Accepting new patients
University Otolaryngology Head & Neck Surgery Inc. Past Accepting new patients

Locations

1351 S County Trl
Ste 303
East Greenwich, RI 02818
Phone (401) 885-8484

1351 S County Trl
Ste 304
East Greenwich, RI 02818
Phone (401) 626-3708

830 Eddy St
Providence, RI 02905
Phone (401) 274-2300

130 Waterman St
Providence, RI 02906
Phone (401) 274-2300

Interoperability endpoints

  • Direct secure messaging: bduff@univoto.emadirect.md

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 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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1659489714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054810",
            "telephone_number": "401-274-2300",
            "fax_number": "401-521-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054810",
            "telephone_number": "401-272-2300",
            "fax_number": "401-521-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "BRIAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "RI",
            "license": "MD09153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020308",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.