Kristina L Douglas, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

52500 Issued in AZ

Practice address

677 N Wilmot Rd
Tucson, AZ 85711-2701

Phone

(520) 795-2889

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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.

• Radiology LTD., LLC

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1841261989

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Maiden Lane Medical, PLLC

  • Gynecology Physician
  • New York, NY
  • NPI 1497291074

  NY

  Medicare reassignment NPD
• Valley Perinatal Services, LLC

  • Maternal & Fetal Medicine Physician
  • Chandler, AZ
  • NPI 1174866743

  AZ

  Medicare reassignment
• Family First Medical Center, PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1033314273

  ID

  Medicare reassignment
• Assured Imaging Women'S Wellness of Southern Arizona, LLC

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1932245974

  Diagnostic Radiology

  NPD
• RLC LLC

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1528224904

  Diagnostic Radiology

  NPD
• Assured Imaging Women'S Wellness of Southern Arizona, LLC

  • Diagnostic Radiology Physician
  • Arlington, TX
  • NPI 1528566890

  Diagnostic Radiology

  NPD
• Btdi JV, LLP

  • Physiological Laboratory
  • Waco, TX
  • NPI 1932928652
  NPD (past)
• Community Imaging Medical Group Inc

  • Diagnostic Radiology Physician
  • Ventura, CA
  • NPI 1639125628

  Diagnostic Radiology

  NPD (past)
• Silicon Valley Diagnostic Imaging, Inc.

  • Radiology Clinic/Center
  • Mountain View, CA
  • NPI 1629265806

  Diagnostic Radiology

  NPD (past)

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

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

University of California, Davis School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology LTD LLC 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score

78.69 of 100Reported as group

Quality

75.27

Improvement activities

40

Cost

74.3

Medicare fee-for-service enrollment

Enrolled in CA, NY, ID, AZ4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2025.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1104916253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 N Brent St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032817",
            "country_code": "US",
            "telephone_number": "805-652-5093",
            "fax_number": "805-641-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81074",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "52500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104916253",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF CA",
            "identifier": "00A810740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonia Marie Doubrava, DNP, PMHNP
• Alison Audrene Dougherty, LMSW
• Ashley Dougherty, PHARMD
• Shona Dougherty, MD, PHD
• Gary Douglas
• Marion Douglass, MD
• Christopher J Douville, D.D.S
• Sandra K Douville, EDS
• Joshua Mark Dover, PHARM.D.
• Elizabeth Theresa Dovi, FNP-BC

• All providers in Tucson, AZ
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.