Azra Durakovic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48876 Issued in MN

Practice address

4300 Edgewood Dr NE
Saint Michael, MN 55376-4588

Phone

(763) 744-4000

NPI assigned

Jan 16, 2006

Last updated

Nov 13, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Regional Medical CenterGroup PAC ID 7214821909, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adurakovic95725@excellian.direct.allina.com

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.

• St. Francis Regional Medical Center

  dba St. Francis Urgent Care - Southbridge

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Healthpartners RC

  dba Olivia Hospital & Clinic

  • Critical Access Hospital Clinic/Center
  • Olivia, MN
  • NPI 1649470782
  Medicare reassignment
• Allina Health System

  dba Allina Health Faribault Clinic

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1013213826
  NPD
• Healthpartners RC

  dba Olivia Hospital & Clinic

  • Critical Access Hospital
  • Olivia, MN
  • NPI 1629091871
  NPD

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1871572099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E FAIRVIEW AVE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771397",
            "telephone_number": "320-523-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 EDGEWOOD DR NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764588",
            "telephone_number": "763-744-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAKOVIC",
        "first_name": "AZRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "48876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Albert Desimone, D.D.S.
• Doris Dockendorf, MSW, LISW
• Tonya Ann Dolly, LICSW
• Don Sealock, O.D., P.a. (Eyecare Center of St. Michael)
• April Marie Dornsbach, P.A.-C
• Elise Clara Durre
• Allison Anna Dwyer
• Olivia Ann Eggers
• Endodontic Professionals, PA - St. Micheal Endodontics
• Essential Premium Healthcare LLC

• Family Medicine Physician in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.