Individual provider Active NPI

Douglas Peter Hume, MD

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1659360717
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R1389 Issued in TX
Practice address
8441 Filbert Cir
Fort Worth, TX 76123-5055
Phone
(910) 257-7557
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33068 NC
Emergency Medicine Physician 207P00000X R1389 TX Primary

Addresses

Primary practice location

8441 Filbert Cir
Fort Worth, TX 76123-5055

Mailing address

8441 Filbert Cir
Fort Worth, TX 76123-5055
Phone (910) 257-7557

Other practice location 1

414 Dunmore Rd
Fayetteville, NC 28303-2614
Phone (910) 429-1552

Other names 1

  • Douglas Peter Humenyy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041122001241 NC Practitioner - Emergency Medicine 7012972755 Reassigns benefits to 1 organization
I20170124000571 AZ Practitioner - Emergency Medicine 7012972755 Reassigns benefits to 1 organization
I20170320000549 TX Practitioner - Emergency Medicine 7012972755 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33068NCMDEmergency Medicine Physician
R1389TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Sep 18, 2020 Accepting new patients
Columbus Emergency Group LLC Emergency Medicine CurrentSince Aug 15, 2015 Accepting new patients
Texas Emergency Medicine Group, LLP Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Sterling Emergency Services of the Southeast, Inc Emergency Medicine Past Accepting new patients

Locations

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 5

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1659360717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 FILBERT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761235055",
            "telephone_number": "910-257-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 FILBERT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761235055",
            "telephone_number": "910-257-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Dunmore Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283032614",
            "country_code": "US",
            "telephone_number": "910-429-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUME",
        "first_name": "DOUGLAS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "33068",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "HUMENYY",
            "middle_name": "PETER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.