Individual provider Active NPI

Douglas Eugene Vogt, M.D.

  • Internal Medicine Physician
  • Columbia, MO
National Provider Identifier
1669430070
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD108225 Issued in MO
Practice address
204 N Keene St
Suite 100
Columbia, MO 65201-8102
Phone
(573) 442-0320
Fax
(573) 442-0421
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 MD108225 MO Primary

Addresses

Primary practice location

204 N Keene St
Suite 100
Columbia, MO 65201-8102

Mailing address

204 N Keene St
Suite 100
Columbia, MO 65201-8102
Phone (573) 442-0320

Other identifiers 1

IdentifierTypeStateIssuer
209803808MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20091203000323 MO Practitioner - Internal Medicine 3971584210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

204 N Keene St
Suite 100
Columbia, MO 65201-8136
Phone (573) 442-0320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD108225MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Internal Medicine Associates L.L.C. Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

204 N Keene St
Ste 100
Columbia, MO 65201
Phone (573) 442-0320

204 N Keene St
Columbia, MO 65201
Phone (573) 882-2663

201 W Broadway
Ste 4C
Columbia, MO 65203
Phone (573) 442-0320

Interoperability endpoints

  • Direct secure messaging: dougvogt@mhccaremail.com

Organizations & group practices 2

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 7

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1669430070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018102",
            "telephone_number": "573-442-0320",
            "fax_number": "573-442-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N KEENE ST",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018102",
            "telephone_number": "573-442-0320",
            "fax_number": "573-442-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD108225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209803808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.