Individual provider Active NPI

Douglas Lorenzo Handley, M.D.

  • Diagnostic Radiology Physician
  • New Berlin, WI
National Provider Identifier
1831552157
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69369-20 Issued in WI
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210609000973 WI Practitioner - Diagnostic Radiology 0244630416 Reassigns benefits to 3 organizations
I20220608002875 MT Practitioner - Diagnostic Radiology 0244630416 Reassigns benefits to 3 organizations
I20220608002957 WA Practitioner - Diagnostic Radiology 0244630416 Reassigns benefits to 13 organizations
I20260507001618 OR Practitioner - Diagnostic Radiology 0244630416 Reassigns benefits to 2 organizations

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
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
Columbia County Hospital DistrictGroup PAC ID 5597653758, 55 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Moses Lake Community Health CenterGroup PAC ID 1254235138, 76 clinicians

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 Hospital, Elma, WA, CCN 501304
  • Newport Community Hospital Hospital, Newport, WA, CCN 501310
  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033
  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69369-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Jul 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jun 15, 2022 Accepting new patients
Fort Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Dec 29, 2021 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Richland Hospital CurrentSince Aug 1, 2021 Accepting new patients
Moses Lake Community Health Center CurrentSince May 30, 2023 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Fort Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Oct 19, 2025 Accepting new patients
Moses Lake Community Health Center CurrentSince May 30, 2023 Accepting new patients
The Corvallis Clinic P C CurrentSince Oct 23, 2025 Accepting new patients
The Polyclinic PLLC CurrentSince Jul 1, 2022 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 4, 2025 Accepting new patients
Richland Hospital CurrentSince Aug 1, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 15, 2022 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jul 1, 2022 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • FHIR API: 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.

View all 25

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.