Individual provider Active NPI

Katherine Anne Douglass, MD

  • Emergency Medicine Physician
  • Bethesda, MD
National Provider Identifier
1679555668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MDD0063062 Issued in MD
Practice address
8901 Wisconsin Ave
Bethesda Naval Medical Center
Bethesda, MD 20889-0001
Phone
(301) 295-4810
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
Yes

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
Emergency Medicine Physician 207P00000X MDD0063062 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Bethesda Naval Medical Center
Bethesda, MD 20889-0001

Mailing address

2150 Pennsylvania Ave NW
Floor 2B Burns BLDG
Washington, DC 20037-3201
Phone (202) 741-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070118000532 DC Practitioner - Emergency Medicine 8729089792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDD0063062MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince Jul 1, 2006 Accepting new patients

Locations

2150 Pennsylvania Ave NW
Fl 2B
Washington, DC 20037

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679555668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "address_2": "FLOOR 2B BURNS BLDG",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-2911",
            "fax_number": "202-741-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BETHESDA NAVAL MEDICAL CENTER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "MDD0063062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.