DR. KEVIN U DUQUE-DIAZ MD
NPI 1619679933
General Practice in Cheraw, SC

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
710 CHESTERFIELD HWY, CHERAW, SC 29520(843) 537-2171 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Mar 16, 2026, Mar 20, 2023 (3 updates tracked since 2023).

About Dr. Kevin U Duque-diaz Md NPPES

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

DR. KEVIN U DUQUE-DIAZ MD (NPI 1619679933) is an individual general practice provider in Cheraw, South Carolina, licensed in North Carolina (2006-00007) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and maintains a secondary practice location in Sumter.

NPPES Registry Identity

NPI1619679933
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KEVIN U DUQUE-DIAZCredential: MD
Location Address710 CHESTERFIELD HWYCheraw, SC 29520-7001
Mailing Address555 E Cheves StFlorence, SC 29506-2617 · (843) 537-2171
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1619679933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 2006-00007
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2026-00007 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 90042 (SC)
710 CHESTERFIELD HWY, Cheraw, SC 29520

Secondary Practice Location 1

Location 1129 N Washington StSumter, SC 29150-4949 · Phone (803) 774-9680 · Fax (803) 434-3955

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin U Duque-diaz 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 ID4981066172
PECOS Enrollment IDI20260701001095
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Duque-diaz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
711 CHESTERFIELD HWY
Cheraw, SC 29520
  • Reassigned Medicare billing, South Carolina enrollment
  • 275 clinicians in this Medicare group
Hospitalist
301 E JACKSON ST
Dillon, SC 29536
  • Reassigned Medicare billing, South Carolina enrollment
  • 126 clinicians in this Medicare group
Rural Health
755 E SMITH ST
Timmonsville, SC 29161
  • Reassigned Medicare billing, South Carolina enrollment
  • 215 clinicians in this Medicare group
Family Medicine
115 N SUMTER ST STE 315
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health Medical Group-Midlands
  • 1,466 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420107
Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County
Emergency services

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.

Nurse Practitioner (Family)
710 CHESTERFIELD HWY
CHERAW, SC 29520
Nurse Practitioner (Family)
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Orthopaedic Surgery
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520

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 Kevin Duque-diaz's NPI number?

The NPI number for Kevin Duque-diaz is 1619679933. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kevin Duque-diaz located?

Kevin Duque-diaz practices at 710 Chesterfield Hwy, Cheraw, SC 29520. The listed phone number is (843) 537-2171.

What is Kevin Duque-diaz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kevin Duque-diaz enrolled in Medicare?

Yes. Kevin Duque-diaz 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.

Which organizations bill Medicare for Kevin Duque-diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Duque-diaz reassigns Medicare benefits to 5 organizations: Mcleod Health Cheraw (Cheraw, SC), Mcleod Medical Center-Dillon (Dillon, SC), Mcleod Health Clarendon (Timmonsville, SC), Palmetto Health - University Of South Carolina Medical Group (Sumter, SC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Duque-diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Duque-diaz affiliated with any hospitals?

According to CMS data, Kevin Duque-diaz is affiliated with Prisma Health Tuomey Hospital and Mcleod Health Cheraw.

When was this NPI record last updated?

The NPPES record for Kevin Duque-diaz was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.