Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Kevin Duque-diaz's specialty?

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

Q: When was this NPI record last updated?

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

Active since March 20, 2023PECOS Enrolled

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: July 26, 2026.

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

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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 Mcleod Health Cheraw, 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

Phone(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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin U Duque-diaz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981066172

PECOS Enrollment IDI20260609000184

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.

Hospital Affiliations CMS Care Compare

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

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.

DR. JOSEPH KERSHAW NEWSOM JR. MD

Family Medicine