Individual provider Active NPI

Jessica Marot Duke, M.D.

  • Cardiovascular Disease Physician
  • Petaluma, CA
National Provider Identifier
1922539923
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A206281 Issued in CA
Practice address
141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390
Phone
(707) 790-8000
Fax
(707) 757-6727
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A206281 CA Primary

Addresses

Primary practice location

141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390

Mailing address

141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390
Phone (707) 790-8000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260304003148 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577835230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

141 Lynch Creek Way
Suite C
Petaluma, CA 94954-2390
Phone (707) 763-0802

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A206281CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Cardiology Clinical Group Cardiovascular Disease PastSince Dec 13, 2022 Accepting new patients

Locations

141 Lynch Creek Way
Ste C
Petaluma, CA 94954
Phone (707) 763-0802

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1922539923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542390",
            "telephone_number": "707-790-8000",
            "fax_number": "707-757-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542390",
            "telephone_number": "707-790-8000",
            "fax_number": "707-757-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "JESSICA",
        "middle_name": "MAROT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A206281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.