Duane Ardie Dilworth Jr., M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2020010839 Issued in MO

Practice address

1034 S Brentwood Blvd Ste 1000
Saint Louis, MO 63117-1210

Phone

(314) 781-0794

Fax

(314) 781-0817

NPI assigned

Mar 28, 2014

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Dermatology

Education

Howard University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deluxe Dermatology LLCGroup PAC ID 1850702010, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Deluxe Dermatology LLC

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1922605906
  Medicare reassignment Care Compare group NPD Authorized official
• Jacquelyn B Garrett, MD

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1851495907
  Medicare reassignment
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  NPD
• Jacquelyn B. Garrett, M.D.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1508480708
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christian Hospital Northeast- Northwest

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1639186760
  Care Compare affiliation
• Christian Hospital Northeast-Northwest

  dba Christian Hospital

  • Ambulance
  • Saint Louis, MO
  • NPI 1073769329

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1730507617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1000",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171210",
            "telephone_number": "314-781-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1000",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171210",
            "telephone_number": "314-781-0794",
            "fax_number": "314-781-0817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6651 Chippewa St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092532",
            "country_code": "US",
            "telephone_number": "314-781-0794",
            "fax_number": "314-781-0817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11125 Dunn Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366132",
            "country_code": "US",
            "telephone_number": "314-355-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILWORTH",
        "first_name": "DUANE",
        "middle_name": "ARDIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A152049",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2020010839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick A Dillon, MD
• Dillons Helping Hand Home Healthcare LLC
• Jamie Marisa Dilorenzo - Lohman, LCSW
• Antuan Diltz
• Duane A Dilworth, DDS
• Ann Dimaio, MD
• Tiana Dimasi, MD
• Dimensions of Care
• Victoria Dimuro, PLPC
• Bethanie Dinan, P.A.

• Dermatology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.

Verify at the official NPI Registry.