Active NPI
Robert Michael Duarte, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Lake Charles, LA
National Provider Identifier
1992983159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD203097
- Practice address
- 1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990 - Phone
- (337) 494-4900
- Fax
- (337) 494-4936
- NPI assigned
- Feb 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PGY.1.LSUNO-ORT | LA | |
| Orthopaedic Surgery Physician | 207X00000X | ME112558 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD203097 | LA | Primary |
Addresses
Primary practice location
1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990
Mailing address
PO Box 122165
Dept 2165
Dallas, TX 75312-2165
Phone (337) 494-2919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004858900 | Medicaid | FL | |
| 1005304 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME112558 | FL | MD | Orthopaedic Surgery Physician |
| PGY.1.LSUNO-ORT | LA | MD | Orthopaedic Surgery Physician |
| MD203097 | LA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMC Health Clinical Services, LLC | Current | Accepting new patients |
Locations
5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664
Organizations & group practices 1
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.
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- NPI 1417446501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1992983159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122165",
"address_2": "DEPT 2165",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122165",
"telephone_number": "337-494-2919",
"fax_number": "337-494-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 OAK PARK BLVD FL 3",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018990",
"telephone_number": "337-494-4900",
"fax_number": "337-494-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUARTE",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "PGY.1.LSUNO-ORT",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME112558",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "LA",
"license": "MD203097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004858900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005304",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.