DOUGLAS ROBERT BETTARELLI MD
NPI 1043006208
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 15, 2025PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-5549 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Robert Bettarelli Md NPPES

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

DOUGLAS ROBERT BETTARELLI MD (NPI 1043006208) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043006208
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOUGLAS ROBERT BETTARELLICredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1600 Sw Archer RdGainesville, FL 32610-3003 · (352) 273-5549
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1043006208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1600 SW ARCHER RD, Gainesville, FL 32610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Douglas Robert Bettarelli Md 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 20

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

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Douglas Bettarelli's NPI number?

The NPI number for Douglas Bettarelli is 1043006208. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Douglas Bettarelli located?

Douglas Bettarelli practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-5549.

What is Douglas Bettarelli's specialty?

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

Is Douglas Bettarelli enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Bettarelli was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.