Individual provider Active NPI

Douglas R Sillart, M.D.

  • Anesthesiology Physician
  • Jamestown, NY
National Provider Identifier
1710914742
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
183836 Issued in NY
Practice address
207 Foote Ave
Dept of Anesthesia
Jamestown, NY 14701-7077
Phone
(716) 487-0141
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 183836-1 NY
Anesthesiology Physician 207L00000X A53523 CA
Anesthesiology Physician 207L00000X ME144682 FL
Anesthesiology Physician 207L00000X 183836 NY Primary

Addresses

Primary practice location

207 Foote Ave
Dept of Anesthesia
Jamestown, NY 14701-7077

Mailing address

207 Foote Ave
Dept of Anesthesia
Jamestown, NY 14701-7077
Phone (716) 487-0141

Other identifiers 1

IdentifierTypeStateIssuer
01507377MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20101013000151 NY Practitioner - Anesthesiology 7012109754 Reassigns benefits to 2 organizations
I20210408000677 FL Practitioner - Anesthesiology 7012109754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwood Anesthesia Associates LLCGroup PAC ID 8022920255, 40 clinicians

Practice addresses (Care Compare)

4500 E Fletcher Ave
Tampa, FL 33613-4910
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53523CAMDAnesthesiology Physician
183836NYMDAnesthesiology Physician
183836-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Oct 23, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
SMH Physician Services Inc CurrentSince Apr 17, 2023 Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Mar 30, 2020 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

4500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 870-0401

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Organizations & group practices 7

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1710914742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-487-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-487-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLART",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "183836-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A53523",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME144682",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "183836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.