Individual provider Active NPI

Zakiya V Douglas, MD

  • Pulmonary Disease Physician
  • Hanover, PA
National Provider Identifier
1386940781
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD455580 Issued in PA
Practice address
250 Fame Ave Ste 202
Hanover, PA 17331
Phone
(717) 632-9263
Fax
(717) 646-7439
NPI assigned
Feb 1, 2011
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01081097A IN
Pulmonary Disease Physician 207RP1001X MD455580 PA Primary
Pulmonary Disease Physician 207RP1001X 353204 LA

Addresses

Primary practice location

250 Fame Ave Ste 202
Hanover, PA 17331

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 632-9263

Other practice location 1

600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone (570) 420-9227

Other practice location 2

600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone (570) 420-9227

Other practice location 3

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address zdouglas5405561@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, WV3 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
I20151214002294 PA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8628229077 Reassigns benefits to 4 organizations
I20181120003270 IN Practitioner - Critical Care (Intensivists) 8628229077 Reassigns benefits to 3 organizations
I20191114000793 WV Practitioner - Critical Care (Intensivists) 8628229077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01081097AINMDCritical Care Medicine (Internal Medicine) Physician
31824ALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Sep 12, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc. Pulmonary Disease CurrentSince Jan 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Infinite Medical PC CurrentSince Aug 13, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Porter Physician Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 12, 2019 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Jul 1, 2019 Accepting new patients
Good Samaritan Hospital CurrentSince Jul 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Northwest Indiana Nephrology PC Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

343 S Nappanee St
Elkhart, IN 46514
Phone (574) 295-0096

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

250 Skillman St
Ste 202
Brooklyn, NY 11205

1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

250 Fame Ave
Ste 202
Hanover, PA 17331
Phone (717) 632-9263

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

101 W 7th St
Pennsburg, PA 18073
Phone (215) 679-3200

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

200 Whiteman Ave
Elkins, WV 26241
Phone (304) 636-2033

Interoperability endpoints

  • Direct secure messaging: zdouglas232984@direct2.lvhn.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1386940781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-632-9263",
            "fax_number": "717-646-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 202",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-632-9263",
            "fax_number": "717-646-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606214",
            "country_code": "US",
            "telephone_number": "570-420-9227",
            "fax_number": "570-420-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183606214",
            "country_code": "US",
            "telephone_number": "570-420-9227",
            "fax_number": "570-420-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ZAKIYA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01081097A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD455580",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "353204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zdouglas5405561@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "zdouglas5405561@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.