Adam Douglas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA10649400 Issued in NJ

Practice address

1001 W Main St
Suite B
Freehold, NJ 07728-2579

Phone

(732) 294-2540

Fax

(732) 409-2621

NPI assigned

Jul 7, 2016

Last updated

May 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Healthcare Consultants LLCGroup PAC ID 8325362304, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premier Health Care Services Home health agency, Charlotte Amalie, VI, CCN 487003
• Roy Lester Schneider Hospital,the Hospital, St Thomas, VI, CCN 480001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.douglas@2243.securemail.prognocis.com

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.

• Wilson Healthcare Consultants LLC

  • Internal Medicine Physician
  • St Thomas, VI
  • NPI 1487043428
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Premier Health Care Services, LLC

  • Home Health Agency
  • St Thomas, VI
  • NPI 1386949980
  Care Compare affiliation
• VI Government Hospital and Health Facilities Corp

  dba Schneider Regional Medical Center

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047
  Care Compare affiliation

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1750733309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-294-2540",
            "fax_number": "732-409-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-294-2540",
            "fax_number": "732-409-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10649400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mrunalinin Donde, M.D.
• Olivia Donini
• Justin Colin Donnamaria
• Kyle Donohue, PTA
• Shannon Dooley
• Brianne Nicole Downey, BA, CADC
• Timothy A. Dowse, PA-C
• Doze Concern LLC
• Dr Khaled Al Alwani PC
• Kelly Brianna Drake

• Family Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.

Verify at the official NPI Registry.