KRISTINA L DOUGLAS (M.D.) – Diagnostic Radiology Physician, NPI 1104916253
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for KRISTINA L DOUGLAS (M.D.)
168 N Brent St
Suite 401
Ventura, CA 930032817
Phone: (805) 652-5093
Fax: (805) 641-3965
Type: Location
168, North Brent Street, Ventura, Ventura County, California, 93003, United States
SUITE 401
VENTURA, CA 930032817
Phone: (805) 652-5093
Fax: (805) 641-3965
Type: Location
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 282022742
Phone:
Type: Mailing
677 N WILMOT RD
TUCSON, AZ 857112701
Phone: (520) 795-2889
Type: Location
20, Executive Park, Venture Park, Irvine Business Complex, Irvine, Orange County, California, 92614, United States
STE 155
IRVINE, CA 926144733
Phone: (949) 263-8620
Fax: (800) 409-7005
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $52,884.
Total Amount is formed as General ($52,884) + Research ($0) + Ownership ($0) = $52,884.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GE HealthCare ($28,476).
Total Amount
$52,884
General + Research + Ownership
Payments
39
Total payment records
General Amount
$52,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $28,476 |
| GE HEALTHCARE | $24,408 |
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: 2006-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20061121000674 | I | Diagnostic Radiology | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 277 | 275 | $0 |
| 77063 | Screening 3d breast mammography | 275 | 273 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 33 | 33 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 31 | 31 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 23 | 23 | $0 |
Insurance plans in this area (ZIP 93003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CO | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology, Interventional Radiology | AZ | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | CO |
Reviews
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