Individual provider Active NPI

Rachel Douglas, D.O.

  • Anesthesiology Physician
  • Rochester, MN
National Provider Identifier
1033452198
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
71035 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-2611
Phone
(507) 284-2511
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OL 60365398 WA
Anesthesiology Physician 207L00000X 289880 NY
Anesthesiology Physician 207L00000X 71035 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-2611

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

1959 NE Pacific St # Bb-1469
University of Washington, Box 356540
Seattle, WA 98195-6540
Phone (210) 827-5491

Other practice location 2

321 Genesee St
Oneida, NY 13421-2611
Phone (121) 082-7549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdouglas1747787@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171005002577 NY Practitioner - Anesthesiology 4688949399 Reassigns benefits to 1 organization
I20220815000599 MN Practitioner - Anesthesiology 4688949399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
71035MNMDAnesthesiology Physician
289880NYMDAnesthesiology Physician
OL 60365398WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 5, 2019 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2022 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2022 Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 5, 2019 Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1033452198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559052611",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St # Bb-1469",
            "address_2": "University of Washington, Box 356540",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981956540",
            "country_code": "US",
            "telephone_number": "210-827-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212611",
            "country_code": "US",
            "telephone_number": "121-082-7549",
            "fax_number": "210-827-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "RACHEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OL 60365398",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "289880",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "71035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdouglas1747787@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559052611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.