Individual provider Active NPI

Franklin M Douglis, MD

  • Otolaryngology Physician
  • Conroe, TX
National Provider Identifier
1881699932
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G2687 Issued in TX
Practice address
3000 W Davis St
Conroe, TX 77304-2072
Phone
(936) 539-9322
Fax
(936) 539-9104
NPI assigned
Jun 16, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G2687 TX
Otolaryngology Physician 207Y00000X G2687 TX Primary

Addresses

Primary practice location

3000 W Davis St
Conroe, TX 77304-2072

Mailing address

3000 W Davis St
Conroe, TX 77304-2036
Phone (936) 539-9322

Other identifiers 2

IdentifierTypeStateIssuer
112784704MedicaidTX
112784706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101111000888 TX Practitioner - Otolaryngology 1759475627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 W Davis St
Conroe, TX 77304-2036
Phone (936) 539-9322

6611 FM 2920 Rd
Spring, TX 77379-2636
Phone (281) 376-1188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2687TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin M Douglis MD PA Specialist CurrentSince Mar 4, 2002 Accepting new patients

Locations

3000 W Davis St
Conroe, TX 77304
Phone (936) 539-9322

6611 FM 2920 Rd
Spring, TX 77379
Phone (281) 376-1188

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1881699932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042036",
            "telephone_number": "936-539-9322",
            "fax_number": "936-539-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042072",
            "telephone_number": "936-539-9322",
            "fax_number": "936-539-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLIS",
        "first_name": "FRANKLIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2687",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112784704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112784706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.