Individual provider Active NPI

Cameron Michael McDougall, M.D., FRCS(C)

  • Neurological Surgery Physician
  • Flint, MI
National Provider Identifier
1366812828
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
Q5034 Issued in TX
Practice address
4800 S Saginaw St # 4800
Flint, MI 48507-2677
Phone
(248) 525-1788
NPI assigned
Sep 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Q5034 TX Primary

Addresses

Primary practice location

4800 S Saginaw St # 4800
Flint, MI 48507-2677

Mailing address

4800 S Saginaw St # 4800
Flint, MI 48507-2677
Phone (248) 525-1788

Other identifiers 1

IdentifierTypeStateIssuer
Q5034OtherTXTEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160609002192 TX Practitioner - Neurosurgery 7618267279 Reassigns benefits to 1 organization
I20201216000406 MI Practitioner - Neurosurgery 7618267279 Reassigns benefits to 1 organization
I20211124002217 AZ Practitioner - Neurosurgery 7618267279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Partners PLLCGroup PAC ID 9739587775, 25 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-5097

22455 N Miller Rd
Suite B100
Scottsdale, AZ 85255-4956
Phone (480) 435-9100

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Nov 1, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 2, 2021 Accepting new patients
Jawad a Shah, MD PC Neurological Surgery CurrentSince Nov 1, 2020 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 2, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Neurological Surgery CurrentSince May 1, 2016 Accepting new patients
Vascular and Interventional Partners PLLC CurrentSince Apr 14, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 1, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

10825 W McDowell Rd
Ste 202
Avondale, AZ 85392
Phone (480) 435-9100

6320 W Union Hills Dr
Ste A270
Glendale, AZ 85308
Phone (480) 435-9100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

22455 N Miller Rd
Scottsdale, AZ 85255
Phone (267) 334-9773

22455 N Miller Rd
Ste B100
Scottsdale, AZ 85255
Phone (480) 435-9100

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD

Organizations & group practices 8

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 2

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1366812828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST # 4800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "248-525-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST # 4800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "248-525-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., FRCS(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "Q5034",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.