Active NPI
Robert Duncan, DO
- Internal Medicine Physician
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3541
- Practice address
- 1400 N 500 E
Logan, UT 84341-2455 - Phone
- (435) 716-1000
- NPI assigned
- Mar 28, 2006
- Last updated
- May 30, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3541 | AZ | Primary |
Addresses
Primary practice location
1400 N 500 E
Logan, UT 84341-2455
Mailing address
1400 N 500 E
Logan, UT 84341-2455
Phone (435) 716-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110231110 | Other | AZ | RR MEDICARE |
| AZ0710240 | Other | AZ | BC/BS OF AZ |
| 636368 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1157 N 300
Suite 301
Provo, UT 84604-6124
Phone (801) 714-3422
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3541 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
1157 N 300 W
Ste 301
Provo, UT 84604
Phone (801) 714-3422
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- South Jordan, UT
- NPI 1871990309
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
dba Intermountain Health Logan Regional Hospital
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1720049133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N 500 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412455",
"telephone_number": "435-716-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N 500 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412455",
"telephone_number": "435-716-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "3541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110231110",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF AZ",
"identifier": "AZ0710240",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "636368",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.