Active NPI
Douglas P Sorensen, MD
- Urology Physician
- Melbourne, FL
National Provider Identifier
1245231190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0043859
- Practice address
- 200 Michigan Ave
Melbourne, FL 32901-3100 - Phone
- (321) 724-4400
- Fax
- (321) 724-1139
- NPI assigned
- Aug 2, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0043859 | FL | Primary |
Addresses
Primary practice location
200 Michigan Ave
Melbourne, FL 32901-3100
Mailing address
200 Michigan Ave
Melbourne, FL 32901-3100
Phone (321) 724-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043859 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeve, PA | Past | Accepting new patients | |
| Abilene Advanced Eyecare Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Abilene, TX
- NPI 1104001643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245231190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MICHIGAN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013100",
"telephone_number": "321-724-4400",
"fax_number": "321-724-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MICHIGAN AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013100",
"telephone_number": "321-724-4400",
"fax_number": "321-724-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "DOUGLAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0043859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.