Marek Durakiewicz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

31508 Issued in TN

Practice address

135 E Swan St
Centerville, TN 37033-1417

Phone

(931) 729-4271

Fax

(931) 729-6793

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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 TN

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: Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Thomas Hickman HospitalGroup PAC ID 7315855368, 17 clinicians

Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas Hickman Hospital Hospital, Centerville, TN, CCN 441300
• Saint Thomas Hickman Hospital Nursing home, CCN 44Z300

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.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  TN

  Medicare reassignment Care Compare group NPD
• Saint Thomas Hickman Hospital

  • Critical Access Hospital
  • Centerville, TN
  • NPI 1245275254
  Medicare reassignment Care Compare group
• McMinnville Emergency Services LLC

  • Emergency Medicine Physician
  • MC Minnville, TN
  • NPI 1689860413
  NPD (past)

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

• Saint Thomas Hickman Hospital

  • Critical Access Hospital
  • Centerville, TN
  • NPI 1245275254
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1124052105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331417",
            "telephone_number": "931-729-4271",
            "fax_number": "931-729-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331417",
            "telephone_number": "931-729-4271",
            "fax_number": "931-729-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAKIEWICZ",
        "first_name": "MAREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000031508",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "31508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Leah Crumby
• Yvonne Dantzler-Randolph, NP
• Dawn Marie Deespino, RN
• Dermal Solutions
• Dialysis Associates, LLC
• Gina Michelle Elkins, BSW
• Regina J Elkins, O.D.
• Fast Pace Medical Clinic PLLC
• Julia Finchum
• Lydia Fowler, RD

• Emergency Medicine Physician in Centerville, TN
• Providers in Centerville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.