CARL E DUKES MD
NPI 1154334464
Internal Medicine - Nephrology in San Antonio, TX

Q: What is Carl Dukes's NPI number?

The NPI number for Carl Dukes is 1154334464. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Carl Dukes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Carl Dukes was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

2011 E HOUSTON ST, STE 101A, SAN ANTONIO, TX 78202(210) 227-1717(210) 226-2132 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carl E Dukes Md NPPES

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

CARL E DUKES MD (NPI 1154334464) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (F8471) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1976).

NPPES Registry Identity

NPI1154334464

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameCARL E DUKESCredential: MD

Location Address2011 E HOUSTON ST, STE 101ASan Antonio, TX 78202-2916

Mailing Address2011 E Houston St, Ste 101aSan Antonio, TX 78202-2916 · (210) 227-1717 · Fax (210) 226-2132

Phone(210) 227-1717

Fax(210) 226-2132

Sole ProprietorYes

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1976

Enumeration DateAugust 15, 2006

Last NPPES UpdateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1154334464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · F8471

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedSpecialistTaxonomy 174400000X · License F8471 (TX)

2011 E HOUSTON ST, San Antonio, TX 78202

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Other Identifiers 1

Medicaid00CU242TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl E Dukes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729025481

PECOS Enrollment IDI20050413001200

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

572 services192 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

84 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers14 claims46 services$6.96 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims720 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims900 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims2,340 services$0.55 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier25 claims3,600 services$0.19 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers17 claims17 services$189.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. CHRISTINE B. MITCHELL DNP, APRN, FNP-C

Nurse Practitioner (Family)

2011 E HOUSTON ST
SAN ANTONIO, TX 78202

Bexar County (706) 442-4466

LEO K. EDWARDS JR

Internal Medicine

2011 E HOUSTON ST, SUITE #104 C
SAN ANTONIO, TX 78202

Bexar County (210) 225-5047

DR. LEO K EDWARDS M.D.

Internal Medicine

2011 E HOUSTON ST, SUITE 104C
SAN ANTONIO, TX 78202

Bexar County (210) 225-5047

CARL E DUKES M D PA

Health Maintenance Organization

2011 E HOUSTON ST, STE 101A
SAN ANTONIO, TX 78202

Bexar County (210) 226-1717

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 Carl Dukes's NPI number?

The NPI number for Carl Dukes is 1154334464. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Carl Dukes located?

Carl Dukes practices at 2011 E Houston St Ste 101A, San Antonio, TX 78202. The listed phone number is (210) 227-1717.

What is Carl Dukes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carl Dukes enrolled in Medicare?

Yes. Carl Dukes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carl Dukes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Carl Dukes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Dukes was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.