Kaye Anne Douglas, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

207013-1 Issued in NY

Practice address

22 Center St
Massena, NY 13662-1437

Phone

(315) 764-0265

Fax

(315) 764-1812

NPI assigned

Jul 12, 2006

Last updated

Feb 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Obstetrics/Gynecology

Education

University of Wisconsin School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

61 of 100Reported as group

Quality

59.41

Promoting interoperability

0

Improvement activities

40

Cost

71.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdouglas137791@direct.whhs.com
• Direct secure messaging: kdouglas95813@santaclaravalley.direct-ci.net

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.

• County of Santa Clara

  dba Josefina Narvaez Mental Health Center MH Aoa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment Care Compare group NPD
• Obhg California, P.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1215258892

  CA

  Medicare reassignment NPD
• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Obstetrics & Gynecology

  Medicare reassignment NPD
• County of Santa Clara

  dba SCVMC Outpatient Pharmacy

  • Pharmacy
  • San Jose, CA
  • NPI 1891871919
  NPD
• County of Santa Clara

  dba Valley Health Center San Jose

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1972598449
  NPD
• Washington Township Medical Foundation

  dba Washington Health Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• David P.Gorman, MD PC

  dba Women's Health Center

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1447387618
  NPD (past)
• Tae Sik Choi MD PC

  dba massena obgyn group

  • Obstetrics & Gynecology Physician
  • Massena, NY
  • NPI 1922038116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1467487769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CENTER ST",
            "address_2": "PO BOX 111",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621437",
            "telephone_number": "315-764-0265",
            "fax_number": "315-764-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CENTER ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621437",
            "telephone_number": "315-764-0265",
            "fax_number": "315-764-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAYE ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "207013-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Lawrence Deshaies, PHARMD
• Bridgette Deshane, LMT
• Anna Dickinson, OTR/L
• David Disalvo, DPT
• Christopher A. Dodge, PA-C
• Ruth Dowdy, PT
• Darcy Lynn Drummond, FNP-C
• Deborah K Duello, M.D.
• Margaret Mary Dunn, LCSWR
• Jared A Dunne-Thayer, LCSW-R

• Obstetrics & Gynecology Physician in Massena, NY
• Providers in Massena, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.