Durene M Elem-Vaughn, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001503 Issued in MI

Practice address

1111 Fort St
Lincoln Park, MI 48146-1802

Phone

(313) 386-0000

Fax

(313) 386-1597

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Durene M Elem Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: durene.elemvaughn@direct.secureehrthomas.com
• Direct secure messaging: delemvaughn221169@direct.hfhs.org

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.

• Dr. D. M. Elem PC

  • Primary Podiatric Medicine Podiatrist
  • Lincoln Park, MI
  • NPI 1063468387
  Medicare reassignment Authorized official
• Mitten Mobile Wound Care LLC

  • Podiatrist
  • Chesterfield, MI
  • NPI 1598655060
  Medicare reassignment
• Home Visiting Group,Inc

  • Health Maintenance Organization
  • Oak Park, MI
  • NPI 1629217351
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1417904376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461802",
            "telephone_number": "313-386-0000",
            "fax_number": "313-386-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461802",
            "telephone_number": "313-386-0000",
            "fax_number": "313-386-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEM-VAUGHN",
        "first_name": "DURENE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4858252150",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2710766",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DURENE",
            "last_name": "ELEM",
            "middle_name": "M",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shanita Denise Eccles
• Marita Eckford
• Educare Interventional Pain & Anesthesiology
• Allen Edwards
• Nada El-Khatib
• Diana Lynne Elledge, RN
• Tyara Cinque Evelyn Ellis
• Lena Elreda, FNP
• Roman Jeremiah Encinias
• Amanda Rose England

• Primary Podiatric Medicine Podiatrist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.