DR. DAVID TAN MCDOUGAL DO
NPI 1104404136
Anesthesiology in Miami, FL

Q: What is David Mcdougal's NPI number?

The NPI number for David Mcdougal is 1104404136. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is David Mcdougal's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for David Mcdougal was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

11750 SW 40TH ST, MIAMI, FL 33175(786) 315-5925 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Jun 27, 2025, Mar 31, 2021 (3 updates tracked since 2021).

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About Dr. David Tan Mcdougal Do NPPES

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

DR. DAVID TAN MCDOUGAL DO (NPI 1104404136) is an individual anesthesiology provider in Miami, Florida, licensed in Wisconsin (102903-875) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104404136

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. DAVID TAN MCDOUGALCredential: DO

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing AddressPo Box 840857Dallas, TX 75284-0857 · (725) 204-4632 · Fax (702) 805-0307

Phone(786) 315-5925

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1104404136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in WI · 102903-875✔ Licensed in NV · DO3927

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

11750 SW 40TH ST, Miami, FL 33175

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Secondary Practice Locations 2

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000

Location 27160 Rafael Rivera Way Ste 210Las Vegas, NV 89113-5395 · Phone (702) 878-0070 · Fax (702) 805-0307

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

Dr. David Tan Mcdougal 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.

PECOS PAC ID8628424223

PECOS Enrollment IDI20250707002180, I20250915003680

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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290039

Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County

Emergency services Birthing friendly

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290041

Location657 Town Center DriveLas Vegas, NV 89144 · Clark County

Emergency services Birthing friendly

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290045

Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County

Emergency services Birthing friendly

The Monroe Clinic

Acute Care Hospitals · Monroe, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520028

Location515 22nd AveMonroe, WI 53566 · Green County

Emergency services Birthing friendly

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.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)