Individual provider Active NPI

Matthew Duke

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1659700862
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12207 Issued in FL
Practice address
2780 E Bay Dr
Largo, FL 33771-2469
Phone
(727) 581-4849
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS12207 FL Primary

Addresses

Primary practice location

2780 E Bay Dr
Largo, FL 33771-2469

Mailing address

10225 Ulmerton Rd
1B
Largo, FL 33771-3538
Phone (727) 581-4848

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805000820 FL Practitioner - General Practice 1658598339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians

Practice addresses (Care Compare)

1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12207FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elias Kanaan MD PA CurrentSince Jan 1, 2022 Accepting new patients
Community Hospitalists of Pinella CurrentSince Jan 1, 2022 Accepting new patients

Locations

1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

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 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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1659700862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "1B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-581-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712469",
            "telephone_number": "727-581-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.