Active NPI
Diane Durgan, MD
- Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME148109
- Practice address
- 4321 N Macdill Ave Ste 203
Tampa, FL 33607-6390 - Phone
- (813) 873-7615
- Fax
- (813) 443-8134
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME148109 | FL | Primary |
Addresses
Primary practice location
4321 N Macdill Ave Ste 203
Tampa, FL 33607-6390
Mailing address
4321 N Macdill Ave Ste 203
Tampa, FL 33607-6390
Phone (813) 873-7615
Other practice location 1
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone (813) 264-6490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Diane.Durgan@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
4211 Van Dyke Rd
Lutz, FL 33558-8005
4321 N Macdill Ave
Suite 203
Tampa, FL 33607-6390
Phone (813) 873-7615
Hospital & facility affiliations
- St Josephs Hospital
- Baycare Hospital Wesley Chapel
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 19 |
| Melanoma (skin cancer) excision | 26 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Healthpoint Medical Group Inc | Surgery | Past | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Bldg 2ND
Clearwater, FL 33759
2995 Drew St
Fl 3
Clearwater, FL 33759
4211 Van Dyke Rd
#200
Lutz, FL 33558
Phone (813) 264-6490
4211 Van Dyke Rd
Ste 200
Lutz, FL 33558
Phone (813) 264-6490
4321 N Macdill Ave
Ste 203
Tampa, FL 33607
Phone (813) 873-7615
Interoperability endpoints
- diane.durgan@direct.mybaycare.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1518604693
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1134515554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 N MACDILL AVE STE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076390",
"telephone_number": "813-873-7615",
"fax_number": "813-443-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 N MACDILL AVE STE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076390",
"telephone_number": "813-873-7615",
"fax_number": "813-443-8134"
}
],
"practiceLocations": [
{
"address_1": "4211 Van Dyke Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335588005",
"country_code": "US",
"telephone_number": "813-264-6490",
"fax_number": "813-443-8134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURGAN",
"first_name": "DIANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME148109",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Diane.Durgan@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew Street",
"address_2": "East Bldg 2nd Floor",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "33759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.