Organization Active NPI

Wilbur Don Duque MD PC

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1720400401
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILBUR DON DUQUE MD PC
Practice address
1773 W 24TH St Ste B
Yuma, AZ 85364-6230
Phone
(928) 955-0002
Fax
(844) 260-2871
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Wilbur Don Duque, MD
Title
Chief Officier
Phone
(928) 955-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1773 W 24TH St Ste B
Yuma, AZ 85364-6230

Mailing address

1773 W 24TH St Ste B
Yuma, AZ 85364-6230
Phone (928) 955-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140517000186 AZ Part B Supplier - Clinic/Group Practice 0749403848 Receives reassigned benefits from 1 practitioner
Practice locations: Yuma, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2089133Wilbur Don Duque1773 W 24TH St Ste B, Yuma, AZ 85364Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1720400401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646230",
            "telephone_number": "928-955-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646230",
            "telephone_number": "928-955-0002",
            "fax_number": "844-260-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR DON DUQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CHIEF OFFICIER",
        "authorized_official_telephone_number": "928-955-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.