Active NPI
Debra A Durham, M.D.
- Internal Medicine Physician
- Parks, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 018627
- Practice address
- 1027-A Martin Street
Parks, LA 70582 - Phone
- (337) 845-4900
- Fax
- (337) 845-5288
- NPI assigned
- Jun 1, 2005
- Last updated
- May 21, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 018627 | LA | Primary |
Addresses
Primary practice location
1027-A Martin Street
Parks, LA 70582
Mailing address
PO Box 62622 Dept 1721
New Orleans, LA 70162-2600
Phone (337) 706-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1920959 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4212 W Congress St
Family Health Plaza
Lafayette, LA 70506-6765
Phone (337) 216-9018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018627 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Internal Medicine | Current | Accepting new patients |
Locations
4212 W Congress St
Lafayette, LA 70506
Phone (337) 216-9018
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
900 E Saint Mary Blvd
Ste 106
Lafayette, LA 70503
Phone (337) 289-8861
1027 Martin St
#A
Parks, LA 70582
Phone (337) 845-4900
Interoperability endpoints
- ddurham1099172@direct.ochsner.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba dba Family Health Plaza
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
dba Jennings American Legion Hospital Physician Group
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lafayette, LA
- NPI 1275580151
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Home Health Agency
- Lafayette, LA
- NPI 1528138112
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
dba St Martin Hospital
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
-
- Skilled Nursing Facility
- Breaux Bridge, LA
- NPI 1942291778
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1386646677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62622 DEPT 1721",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701622600",
"telephone_number": "337-706-1605",
"fax_number": "337-981-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027-A MARTIN STREET",
"city": "PARKS",
"state": "LA",
"postal_code": "70582",
"telephone_number": "337-845-4900",
"fax_number": "337-845-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "018627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1920959",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parks, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.