PRINCE DURU (MD) – Emergency Medicine Physician, NPI 1265059935
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for PRINCE DURU (MD)
G3230 BEECHER RD STE 1
FLINT, MI 485323604
Phone: (810) 342-5656
Fax: (810) 342-5600
Type: Mailing
200 E Fairman Ave
Watseka, IL 609701644
Phone: (815) 432-7762
Type: Location
600 N College Ave
Geneseo, IL 612541007
Phone: (309) 944-5650
Fax: (309) 520-2572
Type: Location
1924 ALCOA HWY # U-67
KNOXVILLE, TN 379201511
Phone: (865) 305-5055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $15 |
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: 2024-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240625000372 | I | Family Practice | IL | TBD |
| I20240911003547 | I | Emergency Medicine | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Emergency Medicine | MI | |
| Emergency Medicine, Hospice/Palliative Care | VA | |
| Emergency Medicine, Internal Medicine | MS | |
| - | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL |
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