NPIMap

Individual provider Active NPI

Douglas Eugene Carlan, M.D.

  • Orthopaedic Hand Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1962502963
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME0095674 Issued in FL
Practice address
900 Carillon Parkway
311
St Petersburg, FL 33716-1120
Phone
(727) 573-5626
Fax
(727) 573-5627
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0095674 FL
Orthopaedic Hand Surgery Physician 207XS0106X ME0095674 FL Primary

Addresses

Primary practice location

900 Carillon Parkway
311
St Petersburg, FL 33716-1120

Mailing address

900 Carillon Parkway
311
St Petersburg, FL 33716-1120
Phone (727) 573-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000394 FL Practitioner - Hand Surgery 4183654460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eaton Orthopaedics LLCGroup PAC ID 0941229991, 5 clinicians

Practice addresses (Care Compare)

900 Carillon Pkwy
Suite 311
Saint Petersburg, FL 33716-1120
Phone (727) 573-5626

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)36
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0095674FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Eaton Orthopaedics LLC CurrentSince Aug 16, 2006 Accepting new patients

Locations

900 Carillon Pkwy
Ste 311
St Petersburg, FL 33716
Phone (727) 573-5626

Interoperability endpoints

  • Direct secure messaging: dcarlan188768@orlandohealth.medalliesdirect.net
  • Direct secure messaging: dcarlan@direct.eatonortho.com

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 and National Provider Directory roles.

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1962502963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PARKWAY",
            "address_2": "311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161120",
            "telephone_number": "727-573-5626",
            "fax_number": "727-573-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PARKWAY",
            "address_2": "311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161120",
            "telephone_number": "727-573-5626",
            "fax_number": "727-573-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLAN",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0095674",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME0095674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.