Individual provider Active NPI

Michael G Douglas, MD

  • Surgery Physician
  • Asheville, NC
National Provider Identifier
1508808551
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9700931 Issued in NC
Practice address
222 Asheland Ave
Asheville, NC 28801-4016
Phone
(828) 213-9090
Fax
(828) 213-9091
NPI assigned
Jun 12, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9700931 NC Primary
Vascular Surgery Physician 2086S0129X 9700931 NC

Addresses

Primary practice location

222 Asheland Ave
Asheville, NC 28801-4016

Mailing address

PO Box 1987
Indianapolis, IN 46206-1987
Phone (877) 685-2164

Other identifiers 2

IdentifierTypeStateIssuer
8910799MedicaidNC
10799OtherNCBCBS NC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaeldouglasmd@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040925000007 NC Practitioner - Vascular Surgery 7810966058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals Inc Current Accepting new patients

Locations

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

Interoperability endpoints

  • Direct secure messaging: michaeldouglasmd@direct.msj.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508808551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061987",
            "telephone_number": "877-685-2164",
            "fax_number": "317-705-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ASHELAND AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014016",
            "telephone_number": "828-213-9090",
            "fax_number": "828-213-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9700931",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "9700931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910799",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "10799",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaeldouglasmd@Direct.msj.org",
            "affiliation": "N",
            "address_1": "222 Asheland Ave",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.