Individual provider Active NPI

Douglas G Hatter, M.D.

  • Vascular Surgery Physician
  • Redding, CA
National Provider Identifier
1649368259
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G70383 Issued in CA
Practice address
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone
(530) 242-3500
Fax
(530) 242-3546
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 G70383 CA
Vascular Surgery Physician 2086S0129X G70383 CA Primary

Addresses

Primary practice location

2510 Airpark Dr
Ste 301
Redding, CA 96001

Mailing address

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

Other identifiers 1

IdentifierTypeStateIssuer
00G703830MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100504000662 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 4284709981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

2510 Airpark Dr
Suite 301
Redding, CA 96001-2462
Phone (530) 242-3500

2656 Edith Ave
Redding, CA 96001-3030
Phone (530) 244-2882

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Trinity Hospital Hospital, Weaverville, CA, CCN 051315
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Colonoscopy1-10
Leg revascularization (restoring blood flow)17
Removal of tissue20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70383CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 18, 2016 Accepting new patients
Dignity Health CurrentSince Oct 1, 2019 Accepting new patients
Dignity Health CurrentSince Oct 1, 2019 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

2656 Edith Ave
Ste B
Redding, CA 96001
Phone (530) 244-2882

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2656 Edith Ave
Redding, CA 96001
Phone (530) 244-2882

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

1555 East St
Ste 220
Redding, CA 96001
Phone (530) 244-0146

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1649368259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "STE 301",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-242-3500",
            "fax_number": "530-242-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "STE 301",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-242-3500",
            "fax_number": "530-242-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTER",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G70383",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G70383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G703830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.