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DR. D. M. ELEM PC
NPI 1063468387
Podiatrist - Primary Podiatric Medicine in Lincoln Park, MI

Active since May 26, 2006
1111 FORT ST, LINCOLN PARK, MI 48146(313) 386-0000(313) 386-1597 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. D. M. Elem Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. D. M. ELEM PC (NPI 1063468387) is a healthcare organization registered as a primary podiatric medicine in Lincoln Park, Michigan and active in the NPI registry since May 2006. The organization lists Durene Michelle Elem-vaughn, President, as its authorized official.

NPPES Registry Identity

NPI1063468387
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameDR. D. M. ELEM PC
Location Address1111 FORT STLincoln Park, MI 48146-1802
Mailing Address1111 Fort StLincoln Park, MI 48146-1802 · (313) 386-0000 · Fax (313) 386-1597
Phone(313) 386-0000
Fax(313) 386-1597
Organization SubpartNo
Authorized OfficialDurene Michelle Elem-vaughnPresident · (313) 386-0000
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 24, 2008
✔ NPI 1063468387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MI · 5901001503
1111 FORT ST, Lincoln Park, MI 48146
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN0P31910MI
Medicare UPINU16476MI
Medicaid2710766MI
Other4858252150MI · Blue Cross Blue Shield Michigan
Medicare NSC4460450001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. D. M. Elem Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. D. M. Elem PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Durene Elem Vaughn, DPM
Podiatry
NPI 1417904376
1111 FORT ST
Lincoln Park, MI 48146
(313) 386-0000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. D. M. Elem PC's NPI number?

The NPI number for Dr. D. M. Elem PC is 1063468387. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Dr. D. M. Elem PC located?

Dr. D. M. Elem PC is located at 1111 Fort St, Lincoln Park, MI 48146. The listed phone number is (313) 386-0000.

What is Dr. D. M. Elem PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Dr. D. M. Elem PC enrolled in Medicare?

Yes. Dr. D. M. Elem PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. D. M. Elem PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr. D. M. Elem PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. D. M. Elem PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dr. D. M. Elem PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. D. M. Elem PC was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.