Active NPI
Drew Anthony Durbin, D.O.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4274
- Practice address
- 16601 N 40TH St
Suite 119
Phoenix, AZ 85032-3355 - Phone
- (480) 779-4999
- Fax
- (480) 779-4998
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4274 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St
Suite 119
Phoenix, AZ 85032-3355
Mailing address
16601 N 40TH St
Suite 119
Phoenix, AZ 85032-3345
Phone (480) 779-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050907001233 | AZ | Practitioner - Internal Medicine | 5294767596 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16601 N 40TH St
Suite 119
Phoenix, AZ 85032-3355
Phone (480) 779-4999
Hospital & facility affiliations
- Honor Health John C. Lincoln Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Primary Care, PC | Internal Medicine | Current | Accepting new patients |
| Active Lifestyle Medical PC | Past | Accepting new patients | |
| Neurological Rehabilitation Center LLC. | Past | Accepting new patients |
Locations
7534 E 2nd St
Ste 102
Scottsdale, AZ 85251
Phone (480) 607-3800
10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1184971376
Internal Medicine
-
- Clinic/Center
- Scottsdale, AZ
- NPI 1013970334
-
- Rehabilitation Clinic/Center
- Mesa, AZ
- NPI 1346568250
Hospital & facility affiliations 1
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": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1063440907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST",
"address_2": "SUITE 119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323345",
"telephone_number": "480-779-4999",
"fax_number": "480-779-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST",
"address_2": "SUITE 119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323355",
"telephone_number": "480-779-4999",
"fax_number": "480-779-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURBIN",
"first_name": "DREW",
"middle_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.