DR. DEWEY JEFFREY DUCKHAM M.D. NPI 1356369508

NPI Information

  • NPI: 1356369508
  • Provider Name: DR. DEWEY JEFFREY DUCKHAM, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15251 NATIONAL AVE. SUITE 108
    LOS GATOS, CA
    ZIP 95032
  • Phone: (408) 358-3835

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NPI Details

DR. Dewey Jeffrey Duckham, M.D. is a family medicine in Los Gatos, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Dewey Jeffrey Duckham, M.D. NPI is 1356369508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15251 NATIONAL AVE. SUITE 108
LOS GATOS, CA
ZIP 95032
Phone: (408) 358-3835
Fax: (408) 358-2765

The NPI 1356369508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, methylprednisolone acetate, 20 mg (HCPCS:J1020)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose (HCPCS:0002A)
  • Removal of impacted ear wax (HCPCS:69210)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA036604CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A28138MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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