DR. TROY SCOTT DOUGLAS (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1932272986

DR. TROY SCOTT DOUGLAS (D.P.M) is a healthcare provider. based in Modesto, California. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. E4641 (CA). The NPI Number for DR. TROY SCOTT DOUGLAS (D.P.M) is 1932272986

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TROY SCOTT DOUGLAS (D.P.M)
NPI
1932272986
Phone
(209) 735-6120
Address
4601 DALE RD
Enumeration Date
16 November 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2097355000
Graduation Year
2003 (23 years ago)
PAC ID
0547262842
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070214000414
Address ID
CA953569718MO4601XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,833 PODIATRY in CA

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Provider Addresses for DR. TROY SCOTT DOUGLAS (D.P.M)

  • Kaiser Permanente Modesto Medical Center and Medical Offices, 4601, Dale Road, Modesto, Stanislaus County, California, 95356, United States

    MODESTO, CA 953569718

    Phone: (209) 735-6120

    Type: Location

  • 3337, Vine Cliff Way, Modesto, Stanislaus County, California, 95355, United States

    MODESTO, CA 953558469

    Phone: (209) 551-3386

    Type: Mailing

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: 2007-02-14

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
I20070214000414IPodiatryCATBD

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 95356)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How is DR. TROY SCOTT DOUGLAS (D.P.M) identified in CMS data?
CMS-hosted NPPES data lists DR. TROY SCOTT DOUGLAS (D.P.M) with NPI 1932272986.
Is DR. TROY SCOTT DOUGLAS (D.P.M) still practicing?
DR. TROY SCOTT DOUGLAS (D.P.M) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TROY SCOTT DOUGLAS (D.P.M)?
For research purposes, treat DR. TROY SCOTT DOUGLAS (D.P.M) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. TROY SCOTT DOUGLAS (D.P.M) based?
DR. TROY SCOTT DOUGLAS (D.P.M) is tied to Modesto, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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