Dennis Durham, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H6184 Issued in TX

Practice address

3501 Knickerbocker Rd
San Angelo, TX 76904

Phone

(325) 947-6063

Fax

(325) 947-6189

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
• Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348
• Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
• Lillian M Hudspeth Memorial Hospital Hospital, Sonora, TX, CCN 451324
• Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389

Merit-based Incentive Payment System (MIPS)

Final score

82.63 of 100Reported as group

Quality

78.21

Promoting interoperability

96

Improvement activities

40

Cost

67.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984

  Internal Medicine

  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Regional Employee Assistance Program Inc

  • General Practice Physician
  • San Angelo, TX
  • NPI 1750302923
  NPD
• Inpatient Medical Services, P.a.

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1104868975
  NPD (past)

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

• Ballinger Memorial Hospital District

  • Land Ambulance
  • Ballinger, TX
  • NPI 1215991039

  Hospital

  Care Compare affiliation
• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938
  Care Compare affiliation
• Heart of Texas Healthcare System

  • Critical Access Hospital
  • Brady, TX
  • NPI 1558349399
  Care Compare affiliation
• Pecos County Memorial Hospital District

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1073200309
  Care Compare affiliation
• Shannon Medical Center

  • General Acute Care Hospital
  • San Angelo, TX
  • NPI 1992707228
  Care Compare affiliation
• Sutton County Hospital District

  • Critical Access Hospital
  • Sonora, TX
  • NPI 1831140979
  Care Compare affiliation
• Sutton County Hospital District

  • Rural Health Clinic/Center
  • Sonora, TX
  • NPI 1922206606

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013945500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-6063",
            "fax_number": "325-947-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-6063",
            "fax_number": "325-947-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dungarvin Texas, LLC
• Dungarvin Texas, LLC
• Gregory M. Dunham, MD
• Laura Duran
• Jessica Starr Durand
• Keith M Duryea, CNS
• Dawn Kylie Dusek, RN
• Leigh Anne Kathleen Dycus
• E Hospice Group of Texas No. 2, LLC
• Doyle Douglas Eakman, R.PH.

• Internal Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.