JOHN DEREK DURHAM MD NPI 1376562942

NPI Information

  • NPI: 1376562942
  • Provider Name: JOHN DEREK DURHAM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1128 CLARKSVILLE ST
    STE. 100
    PARIS, TX
    ZIP 75460
  • Phone: (903) 785-4362

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NPI Details

John Derek Durham, MD is a family medicine in Paris, TX with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Derek Durham, MD NPI is 1376562942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1128 CLARKSVILLE ST
STE. 100
PARIS, TX
ZIP 75460-060
Phone: (903) 785-4362
Fax: (903) 782-9365

The NPI 1376562942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK3572TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144831802OTHERTEXASGROUP TEXAS HEALTH STEPS
25967628OTHERTEXASAETNA
38B5721OTHERTEXASINDIVIDUAL BLUE CROSS
4080179154OTHERTEXASINDIVIDUAL RAILROAD MC
5G70808MEDICARE UPINTEXAS
6124500OTHERTEXASSUPERIOR
7047352202MEDICAIDTEXAS
88215N2MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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