DR. DOUGLAS ALAN EHRENBERG (D.P.M.) – Podiatrist, NPI 1376597443

DR. DOUGLAS ALAN EHRENBERG (D.P.M.) is a healthcare provider. based in Corte madera, California. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. E3463 (CA). The NPI Number for DR. DOUGLAS ALAN EHRENBERG (D.P.M.) is 1376597443

Main info

Male
Sole Proprietor
40 Years Of Experience
Name
DR. DOUGLAS ALAN EHRENBERG (D.P.M.)
NPI
1376597443
Phone
(415) 385-7587
Address
52 MOHAWK AVE
Enumeration Date
21 May 2006
Last Update Date
3 November 2008

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4154481500
Graduation Year
1986 (40 years ago)
PAC ID
8729017991
Group Practice PAC ID
0840108031
Professional Enrollment ID
I20050808000858
Address ID
CA949454569NO6090XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

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Provider Addresses for DR. DOUGLAS ALAN EHRENBERG (D.P.M.)

  • 52, Mohawk Avenue, Chapman, Corte Madera, Marin County, California, 94925, United States

    CORTE MADERA, CA 949251033

    Phone: (415) 385-7587

    Mailing address matches the actual address.

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: 2005-08-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050808000858IPodiatryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94925)

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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: 0840108031View full group profile
NameSpecialtyState
Nurse PractitionerMA
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerNC
Family PracticeNJ
Family PracticeCA
Certified Nurse Midwife (Cnm)CA
Family PracticeCA
Family PracticeAZ
Pulmonary DiseaseCA

Reviews

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Frequently asked questions

How do I look up DR. DOUGLAS ALAN EHRENBERG (D.P.M.) by NPI?
Use NPI 1376597443 when you need to reference DR. DOUGLAS ALAN EHRENBERG (D.P.M.) in forms, claims, or directories.
Does this profile mean DR. DOUGLAS ALAN EHRENBERG (D.P.M.) is currently active?
Yes — DR. DOUGLAS ALAN EHRENBERG (D.P.M.) appears active in the national provider directory.
What field does DR. DOUGLAS ALAN EHRENBERG (D.P.M.) work in?
You can think of DR. DOUGLAS ALAN EHRENBERG (D.P.M.) as practicing within Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. DOUGLAS ALAN EHRENBERG (D.P.M.)?
We surface Corte Madera, California for DR. DOUGLAS ALAN EHRENBERG (D.P.M.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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