Jose A Duarte, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2348 Issued in TX

Practice address

1110 N Buckner Blvd
Suite 100
Dallas, TX 75218-3487

Phone

(214) 324-9400

Fax

(214) 324-9402

NPI assigned

May 12, 2006

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Phoenix Pain Clinic, PLLC

  • Pain Medicine Physician
  • Dallas, TX
  • NPI 1356615074
  Medicare reassignment NPD
• Southeast Anesthesia & Pain Management LLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1346293800
  NPD (past) Authorized official
• Kenneth R Dority DO PA

  dba Occupational Health Source

  • Adult Medicine Physician
  • Dallas, TX
  • NPI 1689847014
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1720039274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752140105",
            "telephone_number": "214-522-0210",
            "fax_number": "214-522-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BUCKNER BLVD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183487",
            "telephone_number": "214-324-9400",
            "fax_number": "214-324-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090128202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DTX Injury Rehab LLC
• Zhengyi Rosie Du
• Dua Optical Management LLC (My EyeLab)
• Duane K Taylor, DDS, PC (Affordable Dentistry & Orthodontics)
• Flavio Duarte Silva, MD
• Poonam Avinashi Vinchhi Dubal, LP, LSSP
• Angela Dubbs, DNP-FNP
• Rachel Michelle Dube, NP
• Christy Dubey
• Taylor Dubey

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.