DR. DOUGLAS J HYDER (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1104834605

DR. DOUGLAS J HYDER (M.D.) is a healthcare provider. based in Gainesville, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 12744 (NH). The NPI Number for DR. DOUGLAS J HYDER (M.D.) is 1104834605

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS J HYDER (M.D.)
NPI
1104834605
Phone
Not provided
Address
1600 SW ARCHER RD # 100296
Enumeration Date
3 August 2006
Last Update Date
24 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522658982
Graduation Year
1991 (35 years ago)
PAC ID
4981642501
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20180418002656
Address ID
FL326081532GA2001XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. DOUGLAS J HYDER (M.D.)

  • 1600 SW ARCHER RD # 100296

    GAINESVILLE, FL 326103003

    Phone:

    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: 2018-04-18

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
I20180418002656IPediatric MedicineFLTBD

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

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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 32610)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. DOUGLAS J HYDER (M.D.)?
The registry entry for DR. DOUGLAS J HYDER (M.D.) shows NPI 1104834605.
Is DR. DOUGLAS J HYDER (M.D.)'s NPI status active today?
Active status means DR. DOUGLAS J HYDER (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. DOUGLAS J HYDER (M.D.) provide?
DR. DOUGLAS J HYDER (M.D.)'s profile centers on Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DOUGLAS J HYDER (M.D.)?
The directory associates DR. DOUGLAS J HYDER (M.D.) with Gainesville, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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