DURENE M ELEM-VAUGHN DPM NPI 1417904376

NPI Information

  • NPI: 1417904376
  • Provider Name: DURENE M ELEM-VAUGHN, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 FORT ST
    LINCOLN PARK, MI
    ZIP 48146
  • Phone: (313) 386-0000

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NPI Details

Durene M Elem-vaughn, DPM is a primary podiatric medicine podiatrist in Lincoln Park, MI with 37 years of experience. Durene M Elem-vaughn, DPM NPI is 1417904376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 FORT ST
LINCOLN PARK, MI
ZIP 48146-802
Phone: (313) 386-0000
Fax: (313) 386-1597

The NPI 1417904376 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).

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.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of inflamed or infected skin, up to 10% of body surface (HCPCS:11000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes (HCPCS:99342)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 9/19/2008.

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
1213EP1101XPodiatristPrimary Podiatric Medicine5901001503MICHIGANYes

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
1U16476MEDICARE UPINMICHIGAN
24460450001MEDICARE NSCMICHIGAN
35825215MEDICARE PINMICHIGAN
44858252150OTHERMICHIGANBLUE CROSS BLUE SHIELD
52710766MEDICAIDMICHIGAN

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: 11/21/2025

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