Individual provider Active NPI

Denzil Douglas, M.D.

  • Nephrology Physician
  • Queens Village, NY
National Provider Identifier
1699161075
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
301732 Issued in NY
Practice address
20606 Hillside Ave
Queens Village, NY 11427-1710
Phone
(718) 820-9729
Fax
(718) 820-9730
NPI assigned
Apr 13, 2015
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 301732 NY
Nephrology Physician 207RN0300X 301732 NY Primary

Addresses

Primary practice location

20606 Hillside Ave
Queens Village, NY 11427-1710

Mailing address

PO Box 416173
Boston, MA 02241-6173
Phone (610) 644-8900

Other practice location 1

960 40th St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Other practice location 2

1152 Kings Highway Cutoff Ste 104
Fairfield, CT 06824-5273
Phone (203) 330-0248

Other practice location 3

900 Northern Blvd Ste 140
Great Neck, NY 11021-5302
Phone (516) 466-6760

Other practice location 4

35 E 110th St Fl 3
New York, NY 10029-0450
Phone (212) 427-9895

Other practice location 5

35 E 110th St Ste 2
New York, NY 10029-0450
Phone (212) 427-9895

Other practice location 6

100 Hospital Rd Ste 203
East Patchogue, NY 11772-8814
Phone (516) 466-6760

Other practice location 7

3250 Westchester Ave Rm 102
Bronx, NY 10461-4548
Phone (718) 794-9729

Other practice location 8

3250 Westchester Ave Ste 128
Bronx, NY 10461-4580
Phone (718) 794-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210301002532 NY Practitioner - Interventional Radiology 2264779776 Reassigns benefits to 1 organization
I20221206000946 CT Practitioner - Interventional Radiology 2264779776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Columbia University College of Physicians and Surgeons, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Image Guided Surgery PCGroup PAC ID 9234022328, 4 clinicians
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

1152 Kings Hwy Cutoff
Suite 104
Fairfield, CT 06824-5273
Phone (203) 330-0248

960 40TH St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301732NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care Physician PLLC CurrentSince Apr 1, 2021 Accepting new patients
Connecticut Image Guided Surgery, PC CurrentSince Jan 1, 2023 Accepting new patients
Renal Focus ASC LLC CurrentSince Dec 12, 2021 Accepting new patients
Sancor Medical Enterprises, LLC Past Accepting new patients
Ya-Tseng William Lu, M.D., PLLC Past Accepting new patients

Locations

1152 Kings Highway Cutoff
Ste 104
Fairfield, CT 06824
Phone (203) 330-0248

501 Kings Hwy E
Ste 109
Fairfield, CT 06825
Phone (203) 330-0248

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: denzil.douglas.p106@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p113@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p118@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p178@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p182@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p188@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p192@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p193@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p2@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p20@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p21@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p211@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p23@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p25@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p30@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p31@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p33@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p39@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p64@direct.aac.nextgenshare.com
  • Direct secure messaging: denzil.douglas.p71@direct.aac.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1699161075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20606 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271710",
            "telephone_number": "718-820-9729",
            "fax_number": "718-820-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 40th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191518",
            "country_code": "US",
            "telephone_number": "718-369-1444",
            "fax_number": "718-369-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 Kings Highway Cutoff Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245273",
            "country_code": "US",
            "telephone_number": "203-330-0248",
            "fax_number": "203-330-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Northern Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215302",
            "country_code": "US",
            "telephone_number": "516-466-6760",
            "fax_number": "516-466-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 E 110th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100290450",
            "country_code": "US",
            "telephone_number": "212-427-9895",
            "fax_number": "212-427-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 E 110th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100290450",
            "country_code": "US",
            "telephone_number": "212-427-9895",
            "fax_number": "212-427-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117728814",
            "country_code": "US",
            "telephone_number": "516-466-6760",
            "fax_number": "516-466-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Westchester Ave Rm 102",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104614548",
            "country_code": "US",
            "telephone_number": "718-794-9729",
            "fax_number": "718-794-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Westchester Ave Ste 128",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104614580",
            "country_code": "US",
            "telephone_number": "718-794-9729",
            "fax_number": "718-794-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DENZIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301732",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "301732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.