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PRINCE DURU MD
NPI 1265059935
Emergency Medicine in Knoxville, TN

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
1924 ALCOA HWY # U-67, KNOXVILLE, TN 37920(865) 305-5055 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2025, Nov 5, 2024, Sep 17, 2024 and 2 more (5 updates tracked since 2020).

About Prince Duru Md NPPES

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

PRINCE DURU MD (NPI 1265059935) is an individual emergency medicine provider in Knoxville, Tennessee, licensed in Illinois (036169519) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Luke Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265059935
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePRINCE DURUCredential: MD
Location Address1924 ALCOA HWY # U-67Knoxville, TN 37920-1511
Mailing AddressG3230 Beecher Rd Ste 1Flint, MI 48532-3604 · (810) 342-5656 · Fax (810) 342-5600
Phone(865) 305-5055
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2020
Last NPPES UpdateFebruary 17, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1265059935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036169519✔ Licensed in IN · 01093102A✔ Licensed in MI · 4351046314
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036169519 (IL)
1924 ALCOA HWY # U-67, Knoxville, TN 37920
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Secondary Practice Locations 2

Location 1200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-7762
Location 2600 N College AveGeneseo, IL 61254-1007 · Phone (309) 944-5650 · Fax (309) 520-2572

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Prince Duru Md 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.

PECOS PAC ID840613147
PECOS Enrollment IDI20240625000372, I20240911003547
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Prince Duru reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
212 mi
Emergency Medicine
1373 E STATE ROAD 62
Madison, IN 47250
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
NPI 1720850233 (812) 801-0800
Lawrence County Memorial Hospital
282 mi
Rural Health
2111 LEXINGTON AVE
Lawrenceville, IL 62439
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1881643401 (Illinois)
  • 78 clinicians in this Medicare group
NPI 1811183692 (618) 943-7216
Statera Health Care, LLC
284 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691
Cepamerica Illinois LLP
335 mi
Emergency Medicine
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1629577812 (217) 347-1211
Emergency Professionals Of Indiana, P.C.
359 mi
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
NPI 1013951219 (260) 435-2699
Professional Emergency Physicians PC
361 mi
Emergency Medicine
2200 RANDALLIA DRIVE
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
NPI 1144215096 (260) 373-4000
Iroquois Memorial Hospital And Resident Home
391 mi
Medicare Defined Swing Bed Unit
200 E FAIRMAN AVE
Watseka, IL 60970
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1629003470 (Illinois)
  • 78 clinicians in this Medicare group
NPI 1285718478 (815) 432-5841
Osf Multi-Specialty Group
456 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Hammond Henry Dist Hospital
507 mi
Critical Access
600 N COLLEGE AVE
Geneseo, IL 61254
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
NPI 1457344491 (309) 944-6431

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
55 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services35 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Iroquois Memorial Hospital

Critical Access Hospitals · Watseka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141353
Location200 Fairman StreetWatseka, IL 60970 · Iroquois County
Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAID AHMAD MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9340
JACOB WILLIAMS
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
DELANEE CHAJA
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
RYAN ALLEN SHILLINGBURG DO
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
DR. SAVANNAH LYNN FUCHS MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
NAM ANH LE
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
JAMES DEAN WEBB MD
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
SAMUEL EVAN MORGAN
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350

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 Prince Duru's NPI number?

The NPI number for Prince Duru is 1265059935. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Prince Duru located?

Prince Duru practices at 1924 Alcoa Hwy # U-67, Knoxville, TN 37920. The listed phone number is (865) 305-5055.

What is Prince Duru's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prince Duru enrolled in Medicare?

Yes. Prince Duru 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 Prince Duru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prince Duru reassigns Medicare benefits to 9 organizations: Cep America LLC (Madison, IN), Lawrence County Memorial Hospital (Lawrenceville, IL), Statera Health Care, LLC (Harrisburg, IL), Cepamerica Illinois LLP (Effingham, IL), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN) and 4 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 Prince Duru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prince Duru accept?

Health plans from CareSource and Wellmark Health Plan of Iowa, Inc. list Prince Duru 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.

Is Prince Duru affiliated with any hospitals?

According to CMS data, Prince Duru is affiliated with Osf Saint Luke Medical Center, Lawrence County Memorial Hospital, Iroquois Memorial Hospital, Union Hospital Inc and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Prince Duru was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.