DR. DAVID D DOUGLAS (M.D.) – Gastroenterology Physician, NPI 1760467898

DR. DAVID D DOUGLAS (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 11244 (NV). The NPI Number for DR. DAVID D DOUGLAS (M.D.) is 1760467898

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID D DOUGLAS (M.D.)
NPI
1760467898
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
13 December 2005
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4803018000
Graduation Year
1986 (40 years ago)
PAC ID
8123913985
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20050712000935
Address ID
AZ850544502PH5779XBLVD401
Telehealth
Yes

Contacts

Secure Messaging
ddouglas394376@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness85
Years active:20State licenses:5Other namesUpdated within 12 months

1,484 GASTROENTEROLOGY in FL

Provider Addresses for DR. DAVID D DOUGLAS (M.D.)

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States

    SCOTTSDALE, AZ 852595452

    Phone: (480) 301-8000

    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: 2017-04-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050712000935IGastroenterologyAZTBD
I20160601001898IGastroenterologyMNTBD
I20170420001740IGastroenterologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
91200Measurement of liver stiffness131131$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9630$0
99215Established patient office or other outpatient visit, 40-54 minutes8757$0
99239Hospital discharge day management, more than 30 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 7012829930View full group profile
NameSpecialtyState
Critical Care (Intensivists)PA
-AZ
Physical Medicine And RehabilitationAZ
Certified Registered Nurse Anesthetist (Crna)AZ
-AZ
-CO
-AZ
Physician AssistantAZ
-FL
Nephrology, Internal MedicineAZ

Reviews

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Frequently asked questions

What federal number belongs to DR. DAVID D DOUGLAS (M.D.)?
The federal identifier for DR. DAVID D DOUGLAS (M.D.) is NPI 1760467898.
Is DR. DAVID D DOUGLAS (M.D.)'s NPI currently valid?
The extract we use shows DR. DAVID D DOUGLAS (M.D.) as active.
What field does DR. DAVID D DOUGLAS (M.D.) work in?
You can think of DR. DAVID D DOUGLAS (M.D.) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. DAVID D DOUGLAS (M.D.)?
The snapshot lists Jacksonville, Florida for DR. DAVID D DOUGLAS (M.D.); download NPPES for the complete set.
How can I contact DR. DAVID D DOUGLAS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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