Individual provider Active NPI

Douglas Allen Wert, MD

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1528018017
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0050514 Issued in FL
Practice address
4648 Grand Boulevard
Florida Medical Center Douglas Wert MD
New Port Richey, FL 34652
Phone
(727) 842-7397
Fax
(727) 842-7790
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0050514 FL Primary

Addresses

Primary practice location

4648 Grand Boulevard
Florida Medical Center Douglas Wert MD
New Port Richey, FL 34652

Mailing address

4648 Grand Blvd
Florida Medical Center Douglas Wert MD
New Port Richey, FL 34652
Phone (727) 842-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101111001513 FL Practitioner - Internal Medicine 4082807508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4648 Grand Blvd
New Port Richey, FL 34652-5113
Phone (727) 842-7397

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050514FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FL Medical Center of New Port Richey PA Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

4648 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 842-7397

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1528018017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 GRAND BLVD",
            "address_2": "FLORIDA MEDICAL CENTER DOUGLAS WERT MD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-842-7397",
            "fax_number": "727-842-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 GRAND BOULEVARD",
            "address_2": "FLORIDA MEDICAL CENTER DOUGLAS WERT MD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-842-7397",
            "fax_number": "727-842-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERT",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.