Active NPI
Douglas Lorenzo Handley, M.D.
- Diagnostic Radiology Physician
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 69369-20
- Practice address
- 13810 W Crawford Dr
New Berlin, WI 53151-5314 - Phone
- (801) 634-6463
- NPI assigned
- Apr 4, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 69369-20 | WI | Primary |
Addresses
Primary practice location
13810 W Crawford Dr
New Berlin, WI 53151-5314
Mailing address
13810 W Crawford Dr
New Berlin, WI 53151-5314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MT, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Vermont College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 8TH Ave
Spokane, WA 99204-2307
1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760
1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (509) 363-7788
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (509) 363-7788
525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455
605 S Coolidge St
Suite 101
Moses Lake, WA 98837-1893
Phone (509) 765-0674
801 S Stevens St
Spokane, WA 99204-2654
Hospital & facility affiliations
- Summit Pacific Medical Center
- Newport Community Hospital
- Samaritan Hospital
- Pullman Regional Hospital
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69369-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist1 | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Richland Hospital | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Inland Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| The Corvallis Clinic P C | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Grant County Public Hospital District 3 | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Inland Imaging Associates PS | Diagnostic Radiology | Current | Accepting new patients |
| Grant County Public Hospital District 2 | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
Locations
2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512
2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010
2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172
600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531
200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330
605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674
1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423
908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
1145 Broadway
Seattle, WA 98122
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 25
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.
-
- Critical Access Hospital
- Dayton, WA
- NPI 1134128911
-
- Federally Qualified Health Center (FQHC)
- Moses Lake, WA
- NPI 1699862813
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, WA
- NPI 1659445468
-
- Emergency Medical Services (Emergency Medicine) Physician
- Ephrata, WA
- NPI 1134283930
-
- Critical Access Hospital
- Brewster, WA
- NPI 1205942257
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Critical Access Hospital
- Newport, WA
- NPI 1780778423
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1831552157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 W CRAWFORD DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 W CRAWFORD DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515314",
"telephone_number": "801-634-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLEY",
"first_name": "DOUGLAS",
"middle_name": "LORENZO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "69369-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.