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 IDStateProvider typePAC IDDetails
I20210707001484 VA Order and Referring Only - Physical Medicine and Rehabilitation
Practitioner - Physical Medicine and Rehabilitation
6507268059

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0116035529VAMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: cduncan486057@direct.healthsystem.virginia.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2021.

{
    "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

All providers in Charlottesville, VA · Physical Medicine & Rehabilitation Physician in Virginia

Sources for this page

Verify at the official NPI Registry.