NPIMap

Individual provider Active NPI

Kathleen Bridget Doughney, MD

  • Medical Oncology Physician
  • Ponce Inlet, FL
National Provider Identifier
1093729287
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME50682 Issued in FL
Practice address
38 Mar Azul N
Ponce Inlet, FL 32127-2229
Phone
(386) 679-5151
NPI assigned
Jul 27, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME50682 FL
Medical Oncology Physician 207RX0202X ME50682 FL Primary

Addresses

Primary practice location

38 Mar Azul N
Ponce Inlet, FL 32127-2229

Mailing address

38 Mar Azul N
Ponce Inlet, FL 32127-2229
Phone (386) 679-5151

Other identifiers 1

IdentifierTypeStateIssuer
047499100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000442 FL Practitioner - Hematology/Oncology 0547156143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Memorial Medical Pkwy
Suite 200
Palm Coast, FL 32164-5979
Phone (386) 586-1860

1726 Dunlawton Ave
Port Orange, FL 32127-8929
Phone (386) 767-6679

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

2890 Ctr Pointe Dr
Fort Myers, FL 33916-9521

325 Clyde Morris Blvd
Suite 450
Ormond Beach, FL 32174-8179
Phone (386) 673-2442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME50682FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Oncology PL PastSince Mar 20, 2003 Accepting new patients
Halifax Healthcare Systems Inc Medical Oncology Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1093729287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MAR AZUL N",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321272229",
            "telephone_number": "386-679-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MAR AZUL N",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321272229",
            "telephone_number": "386-679-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHNEY",
        "first_name": "KATHLEEN",
        "middle_name": "BRIDGET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME50682",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME50682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047499100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce Inlet, FL

Sources for this page

Verify at the official NPI Registry.