Individual provider Active NPI

Arthur W Douville Jr., M.D.

  • Neurology Physician
  • Los Gatos, CA
National Provider Identifier
1205951688
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A25104 Issued in CA
Practice address
800 Pollard Road
Suite B 203
Los Gatos, CA 95032-1429
Phone
(650) 967-1515
Fax
(650) 646-2541
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A25104 CA Primary

Addresses

Primary practice location

800 Pollard Road
Suite B 203
Los Gatos, CA 95032-1429

Mailing address

800 Pollard Road
Suite B 203
Los Gatos, CA 95032-1429
Phone (650) 967-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000322 CA Practitioner - Neurology 6305893397 Practice locations: Mountain View, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 S Dr
Suite 5
Mountain View, CA 94040-4207
Phone (650) 967-1515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A25104CAMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: arthur.douville@6904342249476.direct.elationemr.com
  • Direct secure messaging: adouville125647@santaclaravalley.direct-ci.net

Hospital & facility affiliations 4

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1205951688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLLARD ROAD",
            "address_2": "SUITE B 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321429",
            "telephone_number": "650-967-1515",
            "fax_number": "650-646-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD ROAD",
            "address_2": "SUITE B 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321429",
            "telephone_number": "650-967-1515",
            "fax_number": "650-646-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUVILLE",
        "first_name": "ARTHUR",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A25104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.