DR. ADRIAN SHAKA DURHAM D.O.
NPI 1760845739
Family Medicine in Cheyenne, WY
About Dr. Adrian Shaka Durham D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADRIAN SHAKA DURHAM D.O. (NPI 1760845739) is an individual family medicine provider in Cheyenne, Wyoming, licensed in Wyoming (12478A) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Group Practice 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. Adrian Shaka Durham D.o. 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
2Medicare enrollment records show Adrian Durham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cheyenne, WY 82009
- Reassigned Medicare billing, Wyoming enrollment
- 8 clinicians in this Medicare group
Avon, CT 06001
- Reassigned Medicare billing, Connecticut enrollment
- 182 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CHEYENNE, WY 82001
CHEYENNE, WY 82001
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 Adrian Durham's NPI number?
The NPI number for Adrian Durham is 1760845739. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is Adrian Durham located?
Adrian Durham practices at 820 E 17th St, Cheyenne, WY 82001. The listed phone number is (307) 632-2434.
What is Adrian Durham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adrian Durham enrolled in Medicare?
Yes. Adrian 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 Adrian Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Durham reassigns Medicare benefits to 2 organizations: Smart Sports Medicine Clinic PC (Cheyenne, WY) and Hartford Healthcare Urgent Care Centers, LLC (Avon, CT). 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 Adrian Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adrian Durham was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Adrian Shaka Durham, D.O. · NPI 1760845739
Family Medicine physician in Cheyenne, Wyoming. Individual provider, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1760845739 (Entity type: Individual)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 12478A (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 E 17TH ST, Cheyenne, WY 82001-4714
- **Phone:** (307) 632-2434
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Smart Sports Medicine Clinic PC (NPI 1376690214, Cheyenne, WY); Hartford Healthcare Urgent Care Centers, LLC (NPI 1093239683, Avon, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760845739) · Data from the CMS NPPES public registry.