DR. RENATO M DURHAM (M.D.) – Emergency Medicine Physician, NPI 1174554745

DR. RENATO M DURHAM (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0067647 (FL). The NPI Number for DR. RENATO M DURHAM (M.D.) is 1174554745

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENATO M DURHAM (M.D.)
NPI
1174554745
Phone
(321) 254-6218
Address
2080 W Eau Gallie Blvd
Enumeration Date
5 July 2006
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2198665141
Graduation Year
1993 (33 years ago)
PAC ID
2466411343
Group Practice PAC ID
6507277423
Professional Enrollment ID
I20150626001335
Address ID
IN479783211RE1104XSTXX401

Contacts

Secure Messaging
rdurham@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. RENATO M DURHAM (M.D.)

  • 2080 W Eau Gallie Blvd

    Suite A

    Melbourne, FL 329353185

    Phone: (321) 254-6218

    Fax: (321) 254-6230

    Type: Location

  • 2080, West Eau Gallie Boulevard, Melbourne, Brevard County, Florida, 32935, United States

    SUITE A

    MELBOURNE, FL 329353185

    Phone: (321) 254-6218

    Fax: (321) 254-6230

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 720 S 6TH ST

    MONTICELLO, IN 479608182

    Phone: (574) 583-1785

    Fax: (317) 968-1321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041006000944IEmergency MedicineFLTBD
I20150626001335IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making188175$0
99284Emergency department visit with moderate level of medical decision making10198$0
99283Emergency department visit with low level of medical decision making3736$0
View full utilization report →

Insurance plans in this area (ZIP 32935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507277423View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineIN
Emergency MedicineWA
Emergency MedicineMO
Emergency MedicineMI
Emergency MedicineIN
Emergency MedicineOH
Emergency MedicineWI
Family Practice, Emergency MedicineKY
Emergency MedicineIN

Reviews

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Frequently asked questions

How is DR. RENATO M DURHAM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. RENATO M DURHAM (M.D.) with NPI 1174554745.
Does CMS list DR. RENATO M DURHAM (M.D.) as active?
Yes — DR. RENATO M DURHAM (M.D.) is active in the NPI listing used on this page.
What is DR. RENATO M DURHAM (M.D.) best known for clinically?
Directory data describes DR. RENATO M DURHAM (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RENATO M DURHAM (M.D.)?
DR. RENATO M DURHAM (M.D.)'s geographic hint is Melbourne, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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