NPIMap

Individual provider Active NPI

Gregory L Douds, M.D.

  • Neurological Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1407072382
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
13891 Issued in NV
Practice address
3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone
(702) 835-0088
Fax
(702) 826-3162
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 13891 NV Primary

Addresses

Primary practice location

3012 S Durango Dr
Las Vegas, NV 89117-9186

Mailing address

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 835-0088

Other identifiers 1

IdentifierTypeStateIssuer
1407072382MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120127000519 NV Practitioner - Neurosurgery 8527182237 Reassigns benefits to 1 organization
I20150904001966 AZ Practitioner - Neurosurgery 8527182237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical College of Wisconsin, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garber Kaplan Douds PLLCGroup PAC ID 7911251806, 6 clinicians

Practice addresses (Care Compare)

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 835-0088

3636 N Stockton Hill Rd
Suite 1
Kingman, AZ 86409-0514
Phone (702) 463-1741

Hospital & facility affiliations

  • Valley View Home Health Care LLC Home health agency, Las Vegas, NV, CCN 297186
  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

Merit-based Incentive Payment System (MIPS)

Final score
23.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion107
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2020 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2020 Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Henderson Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunset Pain Surgery Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Steven V Kozmary MD LLC PastSince Jun 1, 2015 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

Interoperability endpoints

  • Direct secure messaging: lvni.logandouds@138891.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 12

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 12

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1407072382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-835-0088",
            "fax_number": "702-826-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-835-0088",
            "fax_number": "702-826-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUDS",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "13891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407072382",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.