Shane M Durkes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49764 Issued in WI

Practice address

849 Kellogg Ave
Janesville, WI 53546-2808

Phone

(608) 755-7960

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Emergency MedicineAlso: Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Martin Emergency Group LLCGroup PAC ID 0840444683, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Feliciana Parish Hospital Hospital, Saint Francisville, LA, CCN 191306
• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
• Hood Memorial Hospital Hospital, Amite, LA, CCN 191309

Merit-based Incentive Payment System (MIPS)

Final score

96 of 100Reported as group

Quality

78.84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St Martin Emergency Group LLC

  • Emergency Medicine Physician
  • Breaux Bridge, LA
  • NPI 1710231774
  Medicare reassignment Care Compare group NPD
• Acadiana Acute Care Associates, LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1255566626
  Medicare reassignment NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  LA

  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173

  LA

  Medicare reassignment NPD
• Crowley Emergency Group LLC

  • Emergency Medicine Physician
  • Crowley, LA
  • NPI 1508275538
  Medicare reassignment NPD
• Emergency Group of St Landry LLC

  • Emergency Medicine Physician
  • Ville Platte, LA
  • NPI 1164491320
  Medicare reassignment NPD
• Ess of Ferriday, LLC

  • Emergency Medicine Physician
  • Ferriday, LA
  • NPI 1346900560
  Medicare reassignment NPD
• Eunice Emergency Group LLC

  • Emergency Medicine Physician
  • Eunice, LA
  • NPI 1104895689
  Medicare reassignment NPD
• Hub City Physician Group, LLC

  • Hospitalist Physician
  • Crowley, LA
  • NPI 1992180566
  Medicare reassignment NPD
• Jefferson Davis Emergency Group LLC

  • Emergency Medicine Physician
  • Jennings, LA
  • NPI 1043289572
  Medicare reassignment NPD
• Opelousas Emergency Group LLC

  • Emergency Medicine Physician
  • Opelousas, LA
  • NPI 1477522704
  Medicare reassignment NPD

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

• Hood Memorial Hospital

  • Psychiatric Hospital Unit
  • Amite, LA
  • NPI 1649460122
  Care Compare affiliation
• Hospital Service District 2 of the Parish of Tangipahoa State of la.

  • Critical Access Hospital
  • Amite, LA
  • NPI 1003925959
  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation
• The Hospital Service District of West Feliciana Parish Louisiana

  • Critical Access Hospital
  • Saint Francisville, LA
  • NPI 1164497533
  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1043396609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 KELLOGG AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462808",
            "telephone_number": "608-755-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 KELLOGG AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462808",
            "telephone_number": "608-755-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKES",
        "first_name": "SHANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49764",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.204989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgien D. Dudzek, PSYD
• Crystal C Dunkelberg, LMT
• Rachel M Dunn, LCSW-TEMP.
• Erin D Dunphy, OD
• Ryan Francis Dunphy, D.C.
• Dva Renal Healthcare Inc
• Brandi Dye, COTA, OTR
• Jamee Lorraine Eanes
• Laurie L. Eastman, LCSW, SAC
• Deanne K Eccles Rotar, MD

• Family Medicine Physician in Janesville, WI
• Providers in Janesville, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.