Active NPI
Michael David Duplessie, MD
- Ophthalmology Physician
- Bethesda, MD
National Provider Identifier
1699757971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0052880
- Practice address
- 10215 Fernwood Rd
Ste 98
Bethesda, MD 20817-1113 - Phone
- (301) 493-6404
- Fax
- (301) 493-9694
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0052880 | MD | Primary |
Addresses
Primary practice location
10215 Fernwood Rd
Ste 98
Bethesda, MD 20817-1113
Mailing address
10215 Fernwood Rd
Ste 98
Bethesda, MD 20817-1113
Phone (301) 493-6404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4106008 00 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0052880 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract and Laser Eye Institute of America, Inc. | Ophthalmology | Past | Accepting new patients |
| Intergalactic Center for Advanced Cataract and Corneal Surgery | Past | Accepting new patients | |
| DC Eye | Ophthalmology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Bethesda, MD
- NPI 1346468527
Ophthalmology
-
- Ophthalmologic Surgery Clinic/Center
- Bethesda, MD
- NPI 1871789172
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1699757971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD",
"address_2": "STE 98",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171113",
"telephone_number": "301-493-6404",
"fax_number": "301-493-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD",
"address_2": "STE 98",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171113",
"telephone_number": "301-493-6404",
"fax_number": "301-493-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLESSIE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0052880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4106008 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.