Daphne Watkins Denham, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036.102521 Issued in IL

Practice address

4487 Calico Dr S Unit B
Fargo, ND 58104-9040

Phone

(701) 532-2426

Fax

(701) 532-2427

NPI assigned

Apr 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Wound Care LLCGroup PAC ID 6507050770, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
• Solaris Home Healthcare Home health agency, Northbrook, IL, CCN 148280

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Wound Care, LLC.

  • Surgery Physician
  • Northbrook, IL
  • NPI 1316254113
  Medicare reassignment Care Compare group NPD Authorized official
• Healing With Hyperbarics of North Dakota PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1407341217

  Surgery

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guardian Home Health Care LLC

  • Home Health Agency
  • Northfield, IL
  • NPI 1366439655
  Care Compare affiliation
• Solaris Home Healthcare Inc

  • Home Health Agency
  • Northbrook, IL
  • NPI 1417258922
  Care Compare affiliation

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1811131527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "address_2": "SUITE 406",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621447",
            "telephone_number": "847-559-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 CALICO DR S UNIT B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049040",
            "telephone_number": "701-532-2426",
            "fax_number": "701-532-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Lake Cook Rd",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621447",
            "country_code": "US",
            "telephone_number": "847-559-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "DAPHNE",
        "middle_name": "WATKINS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.102521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabell Delgado
• Paula I. Delgado, PH.D.
• Heather Demers, RN
• Debra K Deminck, LPCC
• Xiaoying Deng, MD
• Jacob Edward Denkins, PHARMD
• Ryan Evan Dennehy, DPT
• Faithjoy Dennis
• Phyllis Dennis, RN
• Ruth M Denton-Graber, LPCC

• Surgery Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.