DR. RENATO M DURHAM M.D.
NPI 1174554745
Emergency Medicine in Monticello, IN
About Dr. Renato M Durham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENATO M DURHAM M.D. (NPI 1174554745) is an individual emergency medicine provider in Monticello, Indiana, licensed in Indiana (01067412A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and maintains a secondary practice location in Melbourne.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Renato M Durham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Renato Durham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, IN 46563
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
Marion, IN 46952
- Reassigned Medicare billing, Indiana enrollment
- 139 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 101 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 214 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 107 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Franciscan Health Michigan City
Acute Care Hospitals · Michigan City, INSt Mary Medical Center Inc
Acute Care Hospitals · Hobart, INFranciscan Health Crown Point
Acute Care Hospitals · Crown Point, INFranciscan Health Rensselaer, Inc
Critical Access Hospitals · Rensselaer, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTICELLO, IN 47960
MONTICELLO, IN 47960
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 Renato Durham's NPI number?
The NPI number for Renato Durham is 1174554745. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Renato Durham located?
Renato Durham practices at 720 S 6th St, Monticello, IN 47960. The listed phone number is (574) 583-1785.
What is Renato Durham's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Renato Durham enrolled in Medicare?
Yes. Renato Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Renato Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renato Durham reassigns Medicare benefits to 7 organizations: Cep America LLC (Plymouth, IN), Marion General Hospital (Marion, IN), North Indiana Emergency Physicians, LLP (La Porte, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and 2 more organizations, listed in the Medicare section above. Each 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 Renato Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Renato Durham affiliated with any hospitals?
According to CMS data, Renato Durham is affiliated with Franciscan Health Michigan City, St Mary Medical Center Inc, Franciscan Health Crown Point and Franciscan Health Rensselaer, Inc.
When was this NPI record last updated?
The NPPES record for Renato Durham was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Renato M Durham, M.D. · NPI 1174554745
Emergency Medicine physician in Monticello, Indiana. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1174554745 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01067412A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 S 6TH ST, Monticello, IN 47960-8182
- **Phone:** (574) 583-1785 · **Fax:** (317) 968-1321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1336948629, Plymouth, IN); Marion General Hospital (NPI 1346393204, Marion, IN); North Indiana Emergency Physicians, LLP (NPI 1144691478, La Porte, IN); Indiana University Health Care Associates, Inc. (NPI 1679949002, Indianapolis, IN); Emergency Professionals Of Indiana, P.C. (NPI 1013951219, Fort Wayne, IN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1993
## Record status
- **NPPES last updated:** June 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174554745) · Data from the CMS NPPES public registry.