NPIMap

Individual provider Active NPI

Renato M Durham, M.D.

  • Emergency Medicine Physician
  • Monticello, IN
National Provider Identifier
1174554745
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01067412A Issued in IN
Practice address
720 S 6TH St
Monticello, IN 47960-8182
Phone
(574) 583-1785
Fax
(317) 968-1321
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0067647 FL
Emergency Medicine Physician 207P00000X 01067412A IN Primary

Addresses

Primary practice location

720 S 6TH St
Monticello, IN 47960-8182

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2080 W Eau Gallie Blvd
Suite A
Melbourne, FL 32935-3185
Phone (321) 254-6218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdurham@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041006000944 FL Practitioner - Emergency Medicine 2466411343
I20150626001335 IN Practitioner - Emergency Medicine 2466411343 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Emergency Group PC 149 clinicians

Practice addresses (Care Compare)

1104 E Grace St
Franciscan Health Rensselaer
Rensselaer, IN 47978-3211
Phone (219) 866-5141

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0067647FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 11, 2022 Accepting new patients
Clarksville Physician Services PC CurrentSince Nov 14, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Jun 22, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Marion General Hospital CurrentSince Sep 10, 2024 Accepting new patients
Marion General Hospital CurrentSince Sep 10, 2024 Accepting new patients
Space Coast Health Care Services Past Accepting new patients
Brevard Emergency Services Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5208 Reliable Pkwy
Chicago, IL 60686

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

720 S 6th St
Monticello, IN 47960
Phone (574) 583-1776

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: rdurham202942@direct.franciscanalliance.org
  • Direct secure messaging: rdurham@direct.iuhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1174554745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608182",
            "telephone_number": "574-583-1785",
            "fax_number": "317-968-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 W Eau Gallie Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353185",
            "country_code": "US",
            "telephone_number": "321-254-6218",
            "fax_number": "321-254-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "RENATO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0067647",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01067412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdurham@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S 6th St",
            "city": "Monticello",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479608182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.