DR. MARK ADAM DURHAM MD, PHD
NPI 1386493732
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 17, 2024PECOS Enrolled
4260 PLYMOUTH RD # LEVEL2, ANN ARBOR, MI 48109(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Adam Durham Md, Phd NPPES

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

DR. MARK ADAM DURHAM MD, PHD (NPI 1386493732) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052163) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386493732
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK ADAM DURHAMCredential: MD, PHD
Location Address4260 PLYMOUTH RD # LEVEL2Ann Arbor, MI 48109-2700
Mailing Address1200 E Hospital Dr D3230Ann Arbor, MI 48109
Sole ProprietorNo
Enumeration DateMay 17, 2024
NPPES CertifiedMay 9, 2024
NPI 1386493732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351052163
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4260 PLYMOUTH RD # LEVEL2, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Adam Durham Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
4260 PLYMOUTH RD # LEVEL2
ANN ARBOR, MI 48109

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 Mark Durham's NPI number?

The NPI number for Mark Durham is 1386493732. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Mark Durham located?

Mark Durham practices at 4260 Plymouth Rd # Level2, Ann Arbor, MI 48109. The listed phone number is (734) 539-5080.

What is Mark Durham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Durham enrolled in Medicare?

Yes. Mark Durham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Durham was last updated on May 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.