Joseph R Durham, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036064231 Issued in IL

Practice address

1 Ingalls Drive
LL North BLDG
Harvey, IL 60426

Phone

(708) 915-5585

Fax

(708) 915-5589

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Vascular Surgery

Education

Tulane University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ingalls Home Care Inc. Home health agency, Harvey, IL, CCN 147435
• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.durham@ingalls.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.

• Vascular Surgery & Noninvasive Diagnostics LLC

  • Vascular Surgery Physician
  • Harvey, IL
  • NPI 1386716256
  Medicare reassignment NPD Authorized official
• Healogics Specialty Physicians of Illinois, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Alton, IL
  • NPI 1215355110
  Medicare reassignment NPD
• Rehab and Health, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hinsdale, IL
  • NPI 1679093736
  NPD (past)
• Rehabilitation Specialists of Chicago, LLC

  • Physical Medicine & Rehabilitation Physician
  • Harvey, IL
  • NPI 1881763035
  NPD (past)

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

• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686
  Care Compare affiliation
• Ucm Home Care

  • Home Health Agency
  • Harvey, IL
  • NPI 1417998865
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1932260080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432610",
            "telephone_number": "773-206-7197",
            "fax_number": "773-238-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INGALLS DRIVE",
            "address_2": "LL NORTH BLDG",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-915-5585",
            "fax_number": "708-915-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-01-08",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036064231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joseph.Durham@ingalls.org",
            "affiliation": "Y",
            "affiliationName": "Ingalls Memorial Hospital",
            "address_1": "1 Ingalls Drive",
            "address_2": "LL North Bldg",
            "city": "Harvey",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deadre L Domer, RN
• Ripple Rajesh Doshi, M.D.
• Leah Dright
• Nancy R. Dumont, OT
• Guadalupe Duran, APRN
• Renaud Duval, M.D., F.R.C.S.C.
• Dynamics of Life
• Ecneret Family Services - NFP, Inc.
• Helene B Elias, PA
• Darryl Chauncey English I, COTA/L

• Vascular Surgery Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.