Individual provider Active NPI

Ronald M Douglas, MD

  • Family Medicine Physician
  • Plaistow, NH
National Provider Identifier
1336103803
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16901 Issued in NH
Practice address
49 Plaistow Rd
Plaistow, NH 03865-2854
Phone
(603) 371-3229
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16901 NH Primary
Family Medicine Physician 207Q00000X 254851 MA

Addresses

Primary practice location

49 Plaistow Rd
Plaistow, NH 03865-2854

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140521000738 MA Practitioner - Family PracticePractitioner - Emergency Medicine 7911891809 Reassigns benefits to 1 organization
I20160224001383 NH Practitioner - Family Practice 7911891809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Ocumed LLCGroup PAC ID 7719410018, 31 clinicians

Practice addresses (Care Compare)

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254851MAMDFamily Medicine Physician
16901NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Seacoast Emergency Physicians PC CurrentSince Sep 1, 2024 Accepting new patients
Ocumed LLC CurrentSince Oct 26, 2024 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince Sep 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 26, 2023 Accepting new patients
Petersburg Clinic Company LLC Family Medicine Past Accepting new patients
Tri-City Health Care LLC PastSince Oct 21, 2025 Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients
Petersburg Hospital Company LLC Past Accepting new patients
Petersburg Home Care Services LLC Past Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

701 Central Ave
Dover, NH 03820
Phone (603) 609-6700

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

49 Plaistow Rd
Plaistow, NH 03865
Phone (603) 371-3229

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

111 New Hampshire Ave
Portsmouth, NH 03801

125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330

Interoperability endpoints

  • Direct secure messaging: douglas.ronald.wdh@direct.partners.masshiway.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1336103803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652854",
            "telephone_number": "603-371-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16901",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "254851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

Verify at the official NPI Registry.