1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MADELINE GRACE DOUGLAS
NPI 1023751559
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 13, 2022PECOS Enrolled
1830 E MONUMENT ST STE 333, BALTIMORE, MD 21287(676) 306-9412 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 27, 2025, Apr 22, 2022, Apr 13, 2022 (3 updates tracked since 2022).

About Madeline Grace Douglas NPPES

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

MADELINE GRACE DOUGLAS (NPI 1023751559) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023751559
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADELINE GRACE DOUGLAS
Location Address1830 E MONUMENT ST STE 333Baltimore, MD 21287-0020
Mailing Address733 N Broadway Ste 137Baltimore, MD 21205-1832 · (410) 955-3191
Phone(676) 306-9412
Sole ProprietorNo
Enumeration DateApril 13, 2022
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1023751559 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.
1830 E MONUMENT ST STE 333, Baltimore, MD 21287
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Grace 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN E PERLMAN M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1830 E MONUMENT ST STE 333
BALTIMORE, MD 21287
Baltimore City (410) 955-2130
DR. MOHAMMED EIDA AL-SOFIANI M.D.
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 333
BALTIMORE, MD 21287
Baltimore City (518) 253-9929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Douglas's NPI number?

The NPI number for Madeline Douglas is 1023751559. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Madeline Douglas located?

Madeline Douglas practices at 1830 E Monument St Ste 333, Baltimore, MD 21287. The listed phone number is (676) 306-9412.

What is Madeline Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Madeline Douglas enrolled in Medicare?

Yes. Madeline Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Douglas was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.