Active NPI
John P Durbin, M.D.
- Surgery Physician
- Muncie, IN
National Provider Identifier
1376592436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01028322A
- Practice address
- 2525 W University Ave
Suite 403
Muncie, IN 47303-3409 - Phone
- (765) 289-6381
- Fax
- (765) 289-3883
- NPI assigned
- May 8, 2006
- Sex
- Male
- 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 | 01028322A | IN | Primary |
Addresses
Primary practice location
2525 W University Ave
Suite 403
Muncie, IN 47303-3409
Mailing address
2525 W University Ave
Suite 403
Muncie, IN 47303-3409
Phone (765) 289-6381
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00968533 | Other | IN | RR MEDICARE |
| 100370110 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028322A | IN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1376592436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W UNIVERSITY AVE",
"address_2": "SUITE 403",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033409",
"telephone_number": "765-289-6381",
"fax_number": "765-289-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W UNIVERSITY AVE",
"address_2": "SUITE 403",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033409",
"telephone_number": "765-289-6381",
"fax_number": "765-289-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURBIN",
"first_name": "JOHN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01028322A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00968533",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100370110",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.