NPIMap

Individual provider Active NPI

Douglas Ryan Porter, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1205000239
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60502147 Issued in WA
Practice address
9811 W Charleston Blvd Ste 2-641
Las Vegas, NV 89117-7528
Phone
(855) 864-4322
Fax
(855) 864-4322
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A120368 CA
Neurology Physician 2084N0400X E-9389 AZ
Neurology Physician 2084N0400X 15545 NV
Neurology Physician 2084N0400X Q2939 TX
Neurology Physician 2084N0400X 53712 CT
Neurology Physician 2084N0400X 52179 TN
Neurology Physician 2084N0400X MD37652 SC
Neurology Physician 2084N0400X 57094 AZ
Neurology Physician 2084N0400X TM2014-0671 NM
Neurology Physician 2084N0400X MD.35605 AL
Clinical Neurophysiology Physician 2084N0600X 1988834 NY
Neurology Physician 2084N0400X MD60502147 WA Primary

Addresses

Primary practice location

9811 W Charleston Blvd Ste 2-641
Las Vegas, NV 89117-7528

Mailing address

336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 346-8182

Other practice location 1

227 5th Ave Unit B
Kirkland, WA 98033-6120
Phone (615) 346-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, SC, WA, TX, MI, AZ7 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20160322001767 NY Practitioner - Neurology 0345488565 Reassigns benefits to 1 organization
I20190401002245 GA Practitioner - Neurology 0345488565 Reassigns benefits to 1 organization
I20190403002581 SC Practitioner - Neurology 0345488565 Reassigns benefits to 2 organizations
I20190610000672 WA Practitioner - Neurology 0345488565 Reassigns benefits to 1 organization
I20190617002262 TX Practitioner - Neurology 0345488565 Reassigns benefits to 1 organization
I20200331000282 MI Practitioner - Neurology 0345488565
I20221028002619 AZ Practitioner - Neurology 0345488565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monitoring Associates LLCGroup PAC ID 8921314923, 11 clinicians

Practice addresses (Care Compare)

227 5TH Ave
Unit B
Kirkland, WA 98033-6120
Phone 7028320253975

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

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
MD.35605ALMDNeurology Physician
57094AZMDNeurology Physician
E-9389AZMDNeurology Physician
53712CTMDNeurology Physician
TM2014-0671NMMDNeurology Physician
15545NVMDNeurology Physician
52179TNMDNeurology Physician
Q2939TXMDNeurology Physician
MD60502147WAMDNeurology Physician
1988834NYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monitoring Associates LLC CurrentSince Feb 1, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 20, 2022 Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Comprehensive Neuro Monitoring, LLC CurrentSince Mar 1, 2020 Accepting new patients
Rtna PC CurrentSince Apr 24, 2019 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 20, 2022 Accepting new patients
Novant Health Southeastern Spine Institute, LLC CurrentSince Jan 1, 2025 Accepting new patients
Neuralview Medical Group PC PastSince Dec 1, 2015 Accepting new patients
Monitoring Associates Past Accepting new patients
Physician Oversight LLC Past Accepting new patients

Locations

13400 E Shea Blvd
Scottsdale, AZ 85259

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

4 E Jackson Blvd
Savannah, GA 31405

45211 Helm St
Plymouth, MI 48170
Phone (734) 525-9712

9811 W Charleston Blvd
Ste 2641
Las Vegas, NV 89117
Phone (281) 742-9544

1625 Hospital Dr
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

1106 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

336 22nd Ave N
Nashville, TN 37203
Phone 6153468182920

550 N Central Expy
Unit 707
McKinney, TX 75070
Phone (214) 865-6310

373 Martin St
Ste 202
Blaine, WA 98230

Interoperability endpoints

  • Direct secure messaging: dporter136945@direct.seattlechildrens.org
  • Direct secure messaging: drporter@direct.anthc.org
  • Direct secure messaging: dporter260813@direct.memorialcare.org
  • Direct secure messaging: dporter3025752@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1205000239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-641",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "855-864-4322",
            "fax_number": "855-864-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 5th Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980336120",
            "country_code": "US",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DOUGLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A120368",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "E-9389",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "15545",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q2939",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "53712",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "52179",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "MD37652",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "57094",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "TM2014-0671",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "MD.35605",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "1988834",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60502147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.