Individual provider Active NPI

Douglas D Fletcher, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1669479291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 031159-E Issued in PA
Practice address
221 Penn Avenue
Ste 1700
Pittsburgh, PA 15221
Phone
(412) 731-9911
Fax
(412) 731-9219
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD 031159-E PA Primary

Addresses

Primary practice location

221 Penn Avenue
Ste 1700
Pittsburgh, PA 15221

Mailing address

221 Penn Ave
Ste 1700
Pittsburgh, PA 15221-2122
Phone (412) 731-9911

Other identifiers 1

IdentifierTypeStateIssuer
0009559100002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080807000337 PA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 2860566940 Practice locations: Pittsburgh, PA; Wilkinsburg, PA; Seven Fields, PA; Oakmont, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 031159-EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669479291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PENN AVE",
            "address_2": "STE 1700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212122",
            "telephone_number": "412-731-9911",
            "fax_number": "412-731-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PENN AVENUE",
            "address_2": "STE 1700",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15221",
            "telephone_number": "412-731-9911",
            "fax_number": "412-731-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 031159-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009559100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.