Active NPI
Nnennaya Duke, DO
- Family Medicine Physician
- Waterbury, CT
National Provider Identifier
1992144190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55380
- Practice address
- 51 N Elm St
Waterbury, CT 06702-1545 - Phone
- (203) 574-4000
- Fax
- (203) 574-4003
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 55380 | CT | Primary |
Addresses
Primary practice location
51 N Elm St
Waterbury, CT 06702-1545
Mailing address
51 N Elm St
Waterbury, CT 06702-1545
Phone (203) 574-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110002015 | CT | Practitioner - Family Practice | 9638458219 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Community and Family Services, Inc
Practice addresses (Care Compare)
47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042
Hospital & facility affiliations
- Hartford Healthcare at Home
- William W Backus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55380 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Current | Accepting new patients | |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Prohealth Physicians PC | Family Medicine | Current | Accepting new patients |
Locations
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
21 South Rd
Ste 110
Farmington, CT 06032
Phone (860) 284-4945
21 Grand St
Hartford, CT 06106
70 Main St
Jewett City, CT 06351
Phone (860) 376-7040
47 Town St
Norwich, CT 06360
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- nnennaya.duke.npi1992144190.phpct@direct.optumcare.masshiway.net
- nduke675093@direct.ochin.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1467482539
CT
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1992750855
CT
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1558366757
-
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1841937679
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1992144190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N ELM ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021545",
"telephone_number": "203-574-4000",
"fax_number": "203-574-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N ELM ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021545",
"telephone_number": "203-574-4000",
"fax_number": "203-574-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "NNENNAYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "55380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.