Michael Sison Duque, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD14004 Issued in RI

Practice address

674 Aquidneck Ave Ste 1
Middletown, RI 02842-5795

Phone

(401) 847-9955

Fax

(401) 847-9948

NPI assigned

Mar 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Providence Primary Care Assoc IncGroup PAC ID 4880607704, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
• Newport Hospital Hospital, Newport, RI, CCN 410006
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Newport Medical Associates LLC

  • Internal Medicine Physician
  • Middletown, RI
  • NPI 1871319095
  Medicare reassignment NPD Authorized official
• North Providence Primary Care Assoc Inc

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1902886757
  Medicare reassignment Care Compare group
• Center of New England Primary Care Inc

  • Internal Medicine Physician
  • West Greenwich, RI
  • NPI 1699025650
  Medicare reassignment
• Center of New England Urgent Care Inc

  • Urgent Care Clinic/Center
  • West Greenwich, RI
  • NPI 1417207580
  Medicare reassignment
• North Providence Urgent Care

  • Urgent Care Clinic/Center
  • North Providence, RI
  • NPI 1528221470
  Medicare reassignment
• Robert a. Carrellas, M.D, P.C.

  • Family Medicine Physician
  • Middletown, RI
  • NPI 1619079852
  NPD (past)

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

• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Visiting Nurse Services of Newport and Bristol Counties

  • Nursing Care Agency
  • Middletown, RI
  • NPI 1972587699

  Home health agency

  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1871816488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE STE 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425795",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE STE 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425795",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "MICHAEL",
        "middle_name": "SISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy S Drysdale, ATC
• Jeffrey Alexander Duclos, LCDP
• Katherine Dugan, RBT
• Rachael Leigh Dugan, RN
• Kasey Dunn, RN
• Peter Hakan Durudogan, DDS
• Kathryn Ann Dwyer, RN,C.
• Sandra L Dyl, R. N.
• Corrie-Lynn Dyson
• Marcia J Eagleson, MED

• Internal Medicine Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.