Individual provider Active NPI

Trey Dennis Durdin, M.D.

  • Urology Physician
  • Abilene, TX
National Provider Identifier
1003295320
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R7717 Issued in TX
Practice address
1904 Pine St Ste 3a
Abilene, TX 79601-2450
Phone
(325) 670-6180
Fax
(833) 437-1278
NPI assigned
May 19, 2015
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 594025 TX
Urology Physician 208800000X 301446-01 NY
Urology Physician 208800000X R7717 TX Primary

Addresses

Primary practice location

1904 Pine St Ste 3a
Abilene, TX 79601-2450

Mailing address

1904 Pine St Ste 3a
Abilene, TX 79601-2450
Phone (325) 670-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914001740 TX Practitioner - UrologyPractitioner - Emergency Medicine 8022399609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1904 Pine St
Suite 3a
Abilene, TX 79601-2450
Phone (325) 670-6180

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
594025TXMDSurgery Physician
301446-01NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Aug 1, 2021 Accepting new patients
Hendrick Provider Network Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

1904 Pine St
Ste 3A
Abilene, TX 79601
Phone (325) 670-6180

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21794/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b
  • Direct secure messaging: trey.durdin.1@21794.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1003295320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE 3A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-6180",
            "fax_number": "833-437-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE 3A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-6180",
            "fax_number": "833-437-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDIN",
        "first_name": "TREY",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "594025",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "301446-01",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R7717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.