Individual provider Active NPI

Orin Albert Douglas, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1487810636
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249422 Issued in NY
Practice address
315 W 50TH St
New York, NY 10019-6811
Phone
(212) 582-5006
Fax
(646) 478-8829
NPI assigned
Aug 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249422 NY Primary

Addresses

Primary practice location

315 W 50TH St
New York, NY 10019-6811

Mailing address

315 W 50TH St
New York, NY 10019-6811
Phone (212) 582-5006

Other identifiers 2

IdentifierTypeStateIssuer
A400029975OtherNYMEDICARE PTAN
03232597MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20100817001636 NY Practitioner - Family Practice 4789718321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVP Medical Practice PCGroup PAC ID 5395970362, 17 clinicians

Practice addresses (Care Compare)

30 W 60TH St
Apt an
New York, NY 10023-7906
Phone (212) 582-5006

315 W 50TH St
New York, NY 10019-6811
Phone (212) 582-5006

352 7TH Ave
RM 1205
New York, NY 10001-5411
Phone (212) 627-7560

365 A W 28TH St
New York, NY 10001-4703
Phone (212) 741-3030

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
81.41
Improvement activities
40
Cost
73.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Practice PC CurrentSince Dec 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2017 Accepting new patients
Ajs Brooklyn Medical Practice PC CurrentSince Dec 1, 2020 Accepting new patients
AIDS Healthcare Foundation CurrentSince Mar 1, 2023 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Sep 9, 2019 Accepting new patients
AIDS Healthcare Foundation CurrentSince Mar 1, 2023 Accepting new patients
Shlomit Levy Past Accepting new patients

Locations

475 Atlantic Ave
Ste 2
Brooklyn, NY 11217
Phone (718) 369-4850

16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

352 7th Ave
Rm 1205
New York, NY 10001
Phone (212) 627-7560

365 W 28th St
#A
New York, NY 10001
Phone (212) 284-0060

275 7th Ave
Fl 12
New York, NY 10001
Phone (212) 604-1701

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

30 W 60th St
Apt An
New York, NY 10023
Phone (212) 247-6575

315 W 50th St
New York, NY 10019
Phone (212) 333-7661

230 W 17th St
Fl 7
New York, NY 10011

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: orin.douglas.1@26356.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1487810636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 50TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196811",
            "telephone_number": "212-582-5006",
            "fax_number": "646-478-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 50TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196811",
            "telephone_number": "212-582-5006",
            "fax_number": "646-478-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ORIN",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400029975",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.