Active NPI
Marie E Duthil, M.D
- Internal Medicine Physician
- Pahokee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0061252
- Practice address
- 279 S Lake Ave
Pahokee, FL 33476 - Phone
- (561) 446-4312
- Fax
- (866) 611-0620
- NPI assigned
- Jun 23, 2006
- Last updated
- Feb 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0061252 | FL | Primary |
Addresses
Primary practice location
279 S Lake Ave
Pahokee, FL 33476
Mailing address
279 S Lake Ave
Pahokee, FL 33476
Phone (561) 446-4312
Other practice location 1
1201 South Main St
Belle Glade, FL 33430
Phone (561) 996-6571 ext. 400
Other practice location 2
225 S Congress Ave
Delray Beach, FL 33445-4616
Phone (561) 642-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257949900 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427000083 | FL | Practitioner - Internal Medicine | 0648219964 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
279 S Lake Ave
Pahokee, FL 33476-1843
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061252 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shekinah Family Medical Centers LLC | Internal Medicine | Current | Accepting new patients |
Locations
279 S Lake Ave
Pahokee, FL 33476
Phone (561) 285-9494
Interoperability endpoints
- marie.duthil@316.emedpractice.direct-ci.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Pahokee, FL
- NPI 1982237988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1720014566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 S LAKE AVE",
"city": "PAHOKEE",
"state": "FL",
"postal_code": "33476",
"telephone_number": "561-446-4312",
"fax_number": "866-611-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 S LAKE AVE",
"city": "PAHOKEE",
"state": "FL",
"postal_code": "33476",
"telephone_number": "561-446-4312",
"fax_number": "866-611-0620"
}
],
"practiceLocations": [
{
"address_1": "1201 South Main St",
"address_purpose": "LOCATION",
"city": "Belle Glade",
"state": "FL",
"postal_code": "33430",
"country_code": "US",
"telephone_number": "561-996-6571 x400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 S Congress Ave",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334454616",
"country_code": "US",
"telephone_number": "561-642-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTHIL",
"first_name": "MARIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0061252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257949900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pahokee, FL
- Cory B Haimon, D.P.M., PA (Gold Coast Podiatry Group)
- Julius Z Coz, M.D.
- Phillip C Crawford, DDS
- Ruth-Ann Ladavia Dean, BSW
- Shekira L Dent
- Empower Healthcare, Inc (Empower Healthcare)
- Yanick Eugene-Dauphin, MD
- Everglades Medical Health Center LLC
- Michelet Felix, ARNP
- Florida Community Health Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.