MS. TONI T DURHAM CRNP
NPI 1750384038
Nurse Practitioner - Gerontology in Baltimore, MD

NPI Status: Active since May 31, 2005

Contact Information

5601 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21239
Phone: (410) 532-4232
Fax: (410) 532-4623

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology
  • PECOS Enrolled

About TONI DURHAM

This page provides the complete NPI Profile along with additional information for Toni Durham, a provider established in Baltimore, Maryland with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1750384038 assigned on May 2005. The practitioner's primary taxonomy code is 363LG0600X with license number R062761 (MD). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1750384038
Provider Name
MS. TONI T DURHAM CRNP
Gender
Female
Entity Type
Individual
Location Address
5601 LOCH RAVEN BLVD BALTIMORE, MD 21239
Location Phone
(410) 532-4232
Location Fax
(410) 532-4623
Mailing Address
1836 GLEN RIDGE RD BALTIMORE, MD 21234
Mailing Phone
(410) 532-4232
Mailing Fax
(410) 532-4623
Is Sole Proprietor?
Yes
Enumeration Date
05-31-2005
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Toni Durham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R062761
License State
MD

Medicare Participation & PECOS Enrollment Status

Toni Durham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21239 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.08
  • Minimum New Patient Price $60.73
  • Maximum New Patient Price $183.44
  • Average New Patient Copayment $23.52
  • Minimum New Patient Copayment $15.18
  • Maximum New Patient Copayment $45.86

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.59
  • Minimum Established Patient Price $19.6
  • Maximum Established Patient Price $149.17
  • Average Established Patient Copayment $26.64
  • Minimum Established Patient Copayment $4.9
  • Maximum Established Patient Copayment $37.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750384038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710068806
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 8 + 0 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750384038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316940588 PAUL BYRON FOWLER M.D.
Individual
Specialist5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
(410) 532-5258
1629070883DRS. HAHN AND PADGETT
Organization
Specialist5601 LOCH RAVEN BLVD STE 103
BALTIMORE, MD 21239
(410) 532-3991
1811991318DR. JEFFREY EDWARD KREMEN M.D.
Individual
Surgery (Vascular Surgery)5601 LOCH RAVEN BLVD STE 303
BALTIMORE, MD 21239
(410) 435-4700
1164427407 ROBERT JEFFREY BRESLIN M.D.
Individual
Surgery (Vascular Surgery)5601 LOCH RAVEN BLVD STE 303
BALTIMORE, MD 21239
(410) 435-4700
1073518312 MARK HARRY FRAIMAN M.D.
Individual
Surgery (Vascular Surgery)5601 LOCH RAVEN BLVD STE 207
BALTIMORE, MD 21239
(410) 435-4700
1366448052 LUIS FERNANDO GIMENEZ MD
Individual
Internal Medicine (Nephrology)5601 LOCH RAVEN BLVD STE 3
BALTIMORE, MD 21239
(443) 444-3775
1306842059 ELIAS CAMILLE GHANDOUR M.D.
Individual
Internal Medicine (Nephrology)5601 LOCH RAVEN BLVD STE 3
BALTIMORE, MD 21239
(443) 444-3775
1962409375 KALEEM U HAQUE M.D.
Individual
Internal Medicine (Nephrology)5601 LOCH RAVEN BLVD STE 3
BALTIMORE, MD 21239
(443) 444-3775
1053304329DR. JEREMY PAUL WEINER MD
Individual
Surgery5601 LOCH RAVEN BLVD POB #100
BALTIMORE, MD 21239
(410) 323-9210
1992799027DR. MICHAEL RADOWSKY MD
Individual
Dermatology5601 LOCH RAVEN BLVD GOOD SAMARITAN HOSPITAL SUITE 206
BALTIMORE, MD 21239
(410) 433-4445
1154317642DR. EDWARD MARVIN MILLER M.D.
Individual
Internal Medicine5601 LOCH RAVEN BLVD RUSSELL MORGAN BUILDING 3RD FLOOR
BALTIMORE, MD 21239
(410) 464-5618
1386626620PLASTIC COSMETIC SURGEONS PA
Organization
Plastic Surgery5601 LOCH RAVEN BLVD SUITE 101, POB
BALTIMORE, MD 21239
(410) 433-4300
1124000468DR. JOSEPH C ORLANDO M.D.
Individual
Plastic Surgery5601 LOCH RAVEN BLVD SUITE 101, POB
BALTIMORE, MD 21239
(410) 433-4300
1750364279DR. SUSAN GALADA D.O.
Individual
Anesthesiology5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
(410) 532-3702
1518932862NEPHROLOGY CENTER OF MARYLAND, PA
Organization
Internal Medicine (Nephrology)5601 LOCH RAVEN BLVD SUITE 3 NORTH
BALTIMORE, MD 21239
(443) 444-3775
1750358503MR. DANIEL R. BACKOF PA-C
Individual
Physician Assistant5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
(410) 532-8000
1235106329DR. NANCY JANE C. FRIEDLEY M.D.
Individual
Internal Medicine (Geriatric Medicine)5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG, STE 511
BALTIMORE, MD 21239
(410) 532-4480
1255309001DR. NATHALIE J. NARCISSE M.D.
Individual
Internal Medicine5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
(410) 532-8000
1871561415DR. HOWARD S. FREELAND M.D.
Individual
Internal Medicine (Pulmonary Disease)5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG., 3RD FLOOR
BALTIMORE, MD 21239
(410) 464-5600
1174591713DR. BARUCH FRIEDMAN M.D.
Individual
Allergy & Immunology (Allergy)5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG., 3RD FLOOR
BALTIMORE, MD 21239
(410) 464-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750384038, enumerated in the NPI registry as an "individual" on May 31, 2005

The provider is located at 5601 Loch Raven Blvd Baltimore, Md 21239 and the phone number is (410) 532-4232

The provider's speciality is Nurse Practitioner with taxonomy code 363LG0600X with a focus in Gerontology

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.