1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Orthopaedic Surgery
  6. NPI Profile

XAVIER AMPUERO DURALDE MD
NPI 1114929189
Orthopaedic Surgery - Sports Medicine in Atlanta, GA

Active since August 10, 2005Opted out of Medicare · through Jul 1, 2028
2045 PEACHTREE RD NE, SUITE 700, ATLANTA, GA 30309(404) 355-0743(404) 603-9887 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Xavier Ampuero Duralde Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XAVIER AMPUERO DURALDE MD (NPI 1114929189) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (036722) and active in the NPI registry since August 2005. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114929189
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameXAVIER AMPUERO DURALDECredential: MD
Location Address2045 PEACHTREE RD NE, SUITE 700Atlanta, GA 30309-1414
Mailing Address2001 Peachtree Rd Ne, Suite 705Atlanta, GA 30309-1476 · (404) 355-0743 · Fax (404) 355-2136
Phone(404) 355-0743
Fax(404) 603-9887
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1114929189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in GA · 036722
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036722 (GA)
2045 PEACHTREE RD NE, Atlanta, GA 30309
Open in Google Maps ↗

Other Identifiers 4

Medicaid00544585AGA
Medicare UPINF56200
Medicare ID-Type Unspecified20BDBWVGA
Medicare PIN20BDBWVGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Xavier Ampuero Duralde Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACHTREE ORTHOPAEDIC CLINIC
Durable Medical Equipment & Medical Supplies
2045 PEACHTREE RD NE, SUITE 700
ATLANTA, GA 30309
Fulton County (404) 355-0743
ELIZABETH MORGAN MD PC
Plastic Surgery
2045 PEACHTREE RD NE, SUITE
ATLANTA, GA 30309
Fulton County (404) 941-3200
MS. BETH ANN SALAZAR PA-C
Physician Assistant
2045 PEACHTREE RD NE, SUITE 200
ATLANTA, GA 30309
Fulton County (404) 351-7546
H. ELIZABETH KING, PHD, PC
Counselor (Professional)
2045 PEACHTREE RD NE, SUITE 150
ATLANTA, GA 30309
Fulton County (404) 352-4348
ROBERT B DOAN PA C
Physician Assistant
2045 PEACHTREE RD NE, STE 700
ATLANTA, GA 30309
Fulton County (404) 355-0743
DR. LETHA YURKO GRIFFIN M.D.
Orthopaedic Surgery (Sports Medicine)
2045 PEACHTREE RD NE, SUITE 700
ATLANTA, GA 30309
Fulton County (404) 355-0743
DR. BRUCE ALAN EDELSTEIN D.D.S.
Dentist (Periodontics)
2045 PEACHTREE RD NE, SUITE 416
ATLANTA, GA 30309
Fulton County (404) 352-1911
MS. CHARLE' L CAMERON PA-C
Physician Assistant
2045 PEACHTREE RD NE, SUITE 200
ATLANTA, GA 30309
Fulton County (404) 351-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Xavier Duralde's NPI number?

The NPI number for Xavier Duralde is 1114929189. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Xavier Duralde located?

Xavier Duralde practices at 2045 Peachtree Rd NE Suite 700, Atlanta, GA 30309. The listed phone number is (404) 355-0743.

What is Xavier Duralde's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Xavier Duralde enrolled in Medicare?

No. Xavier Duralde has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Xavier Duralde was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.