Active NPI
Douglas Millet Cluff, M.D.
- Family Medicine Physician
- Irving, TX
National Provider Identifier
1508890914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1822
- Practice address
- 400 W Ih 635 Fwy
Suite 210
Irving, TX 75063-3718 - Phone
- (972) 869-2772
- Fax
- (972) 869-1747
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1822 | TX | Primary |
Addresses
Primary practice location
400 W Ih 635 Fwy
Suite 210
Irving, TX 75063-3718
Mailing address
400 W Ih 635 Fwy
Suite 210
Irving, TX 75063-3718
Phone (972) 869-2772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8B4360 | Other | TX | BCBS |
| 149129201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox County Hospital District | Past | Accepting new patients |
Interoperability endpoints
- douglas.cluff@52863893897220.direct.elationemr.com
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Knox City, TX
- NPI 1487639175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1508890914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W IH 635 FWY",
"address_2": "SUITE 210",
"city": "IRVING",
"state": "TX",
"postal_code": "750633718",
"telephone_number": "972-869-2772",
"fax_number": "972-869-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W IH 635 FWY",
"address_2": "SUITE 210",
"city": "IRVING",
"state": "TX",
"postal_code": "750633718",
"telephone_number": "972-869-2772",
"fax_number": "972-869-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUFF",
"first_name": "DOUGLAS",
"middle_name": "MILLET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L1822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8B4360",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149129201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.