KAREEM DOUGLAS
NPI 1023457017
Student in an Organized Health Care Education/Training Program in Farmington, CT

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 23, 2013PECOS Enrolled

263 FARMINGTON AVE, FARMINGTON, CT 06032(860) 679-2000 Get Directions Write a Review

NPPES record last updated: June 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kareem Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREEM DOUGLAS (NPI 1023457017) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023457017

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKAREEM DOUGLAS

Location Address263 FARMINGTON AVEFarmington, CT 06032-1956

Mailing Address263 Farmington AveFarmington, CT 06032-1956

Phone(860) 679-2000

Sole ProprietorNo

Enumeration DateJune 23, 2013

✔ NPI 1023457017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE, Farmington, CT 06032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kareem Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.