Christopher Dash Duncan, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Charlottesville, VA
NPI 1801464680 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1801464680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 0116035529 (VA)
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0816 - Phone
- (434) 924-3627
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707001484 | VA | Order and Referring Only - Physical Medicine and Rehabilitation |
6507268059 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116035529 | VA | MD | Physical Medicine & Rehabilitation Physician |
Interoperability endpoints
- cduncan486057@direct.healthsystem.virginia.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0116035529 | VA | Yes |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
1392 Avon St
Charlottesville, VA 22902-6305
NPI Registry JSON
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1801464680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 AVON ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080816",
"telephone_number": "434-924-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CHRISTOPHER",
"middle_name": "DASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0116035529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- John L. Duminy
- Aaron S. Dumont
- Jennifer Ellen Dumrauf
- Charlene M Dunaway Altamirano
- Emily Gitman Dunbar
- Latasha Ann-Pegram Dunford
- Jackson D Dunitz
- Marissa T Dunkerley
- Nancy E. Dunlap
- Lauren K. Dunn
All providers in Charlottesville, VA · Physical Medicine & Rehabilitation Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.