Individual provider Active NPI

Douglas Tortella, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Polk, LA
National Provider Identifier
1164459459
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L6-0A00337 Issued in DE
Practice address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone
(337) 531-3011
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L6-0A00337 DE Primary
Certified Registered Nurse Anesthetist 367500000X 26NJ00254800 NJ

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459-5102

Mailing address

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Other practice location 1

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000298 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991798985 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6-0A00337DEMDCertified Registered Nurse Anesthetist
26NJ00254800NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Dec 1, 2025 Accepting new patients
Mid-Atlantic Anesthesia Associates PA CurrentSince Jan 2, 2007 Accepting new patients
West Jersey Anesthesia Associate PA CurrentSince Oct 1, 2012 Accepting new patients
Anesthesia Services PA Past Accepting new patients
Voorhees Pain Consultants PA Past Accepting new patients

Locations

1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800

1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1164459459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Limestone Rd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085553",
            "country_code": "US",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORTELLA",
        "first_name": "DOUGLAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00337",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00254800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.