CHARLES WILLIAM DOUBLEDAY (MD) – Dermatology Physician, NPI 1508869991
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for CHARLES WILLIAM DOUBLEDAY (MD)
2421 W 7th St Ste 205
Fort Worth, TX 761072393
Phone: (817) 439-7662
Type: Location
1235 WYNDEN COMMONS LN
HOUSTON, TX 770562538
Phone: (713) 501-1044
Fax: (713) 627-1782
Type: Mailing
3 RIVERWAY STE 200
HOUSTON, TX 770561922
Phone: (713) 501-1044
Fax: (713) 627-1782
Type: Location
1125 Legacy Dr Ste 220
Frisco, TX 750341942
Phone: (972) 370-7662
Type: Location
1235 S Main St Ste 150
Grapevine, TX 760517547
Phone: (817) 481-5111
Type: Location
TopSpot Internet Marketing, 515, Post Oak Boulevard, Houston, Harris County, Texas, 77027, United States
STE 535
HOUSTON, TX 770279494
Phone: (713) 627-1776
Fax: (713) 627-1782
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: 2007-03-19
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 |
|---|---|---|---|---|
| I20070319000354 | I | Dermatology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | TX | |
| Emergency Medicine | IL | |
| Anesthesiology, Critical Care (Intensivists) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX |
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