Active NPI
Denzil Douglas, M.D.
- Nephrology Physician
- Queens Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 301732
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 301732 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care Physician PLLC | Current | Accepting new patients | |
| Connecticut Image Guided Surgery, PC | Current | Accepting new patients | |
| Renal Focus ASC LLC | Current | 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
- denzil.douglas.p106@direct.aac.nextgenshare.com
- denzil.douglas.p113@direct.aac.nextgenshare.com
- denzil.douglas.p118@direct.aac.nextgenshare.com
- denzil.douglas.p178@direct.aac.nextgenshare.com
- denzil.douglas.p182@direct.aac.nextgenshare.com
- denzil.douglas.p188@direct.aac.nextgenshare.com
- denzil.douglas.p192@direct.aac.nextgenshare.com
- denzil.douglas.p193@direct.aac.nextgenshare.com
- denzil.douglas.p2@direct.aac.nextgenshare.com
- denzil.douglas.p20@direct.aac.nextgenshare.com
- denzil.douglas.p21@direct.aac.nextgenshare.com
- denzil.douglas.p211@direct.aac.nextgenshare.com
- denzil.douglas.p23@direct.aac.nextgenshare.com
- denzil.douglas.p25@direct.aac.nextgenshare.com
- denzil.douglas.p30@direct.aac.nextgenshare.com
- denzil.douglas.p31@direct.aac.nextgenshare.com
- denzil.douglas.p33@direct.aac.nextgenshare.com
- denzil.douglas.p39@direct.aac.nextgenshare.com
- denzil.douglas.p64@direct.aac.nextgenshare.com
- 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.
-
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
- NPI 1235104878
-
- Vascular & Interventional Radiology Physician
- Fairfield, CT
- NPI 1730148784
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1952069023
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1467004556
-
- Vascular & Interventional Radiology Physician
- Passaic, NJ
- NPI 1164499364
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.