SAMUEL DOUGLASS DO
NPI 1063801678
Radiology - Diagnostic Radiology in Boise, ID
About Samuel Douglass Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL DOUGLASS DO (NPI 1063801678) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (OC-0433) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Douglass Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Nampa
Acute Care Hospitals · Nampa, IDSaint Alphonsus Medical Center - Ontario
Acute Care Hospitals · Ontario, ORSt. Alphonsus Medical Center - Baker City
Critical Access Hospitals · Baker City, ORUniversity Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOISE, ID 83706
BOISE, ID 83706
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 Samuel Douglass's NPI number?
The NPI number for Samuel Douglass is 1063801678. It was assigned to this individual provider in the NPPES registry on January 20, 2015.
Where is Samuel Douglass located?
Samuel Douglass practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-2121.
What is Samuel Douglass's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Samuel Douglass enrolled in Medicare?
Yes. Samuel Douglass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Samuel Douglass affiliated with any hospitals?
According to CMS data, Samuel Douglass is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, Saint Alphonsus Medical Center - Ontario, St. Alphonsus Medical Center - Baker City and University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Samuel Douglass was last updated on April 18, 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.