Patrick H Durbin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R5F18 Issued in MO

Practice address

6901 Chippewa St
St Louis, MO 63109

Phone

(314) 644-7000

Fax

(314) 644-7101

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bonne Terre, MO
  • NPI 1952326621
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1023079928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 CHIPPEWA ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-644-7000",
            "fax_number": "314-644-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 CHIPPEWA ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-644-7000",
            "fax_number": "314-644-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "PATRICK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5F18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202982955",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Durbin-Dicroce, OTR
• Dotti Durbin, RD
• John P Durbin, M.D.
• Kaci Lyne Durbin, M.D.
• Kelly Denise Durbin, LCSW
• Justin H Durel, M.D.
• Frederick Berthold Durer IV, M.D.
• Becky Durfee, PHARMD
• Patricia Durfee, PTA
• Valerie Kaye Durgins, LPN

• Internal Medicine Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.