DOUGLAS MICHAEL DALKE FNP-BC
NPI 1104507656
Nurse Practitioner - Family in San Antonio, TX
About Douglas Michael Dalke Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS MICHAEL DALKE FNP-BC (NPI 1104507656) is an individual family provider in San Antonio, Texas, licensed in Texas (1127691) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Michael Dalke Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Douglas Dalke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78229 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.
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 Dalke's NPI number?
The NPI number for Douglas Dalke is 1104507656. It was assigned to this individual provider in the NPPES registry on July 27, 2023.
Where is Douglas Dalke located?
Douglas Dalke practices at 5107 Medical Dr, San Antonio, TX 78229. The listed phone number is (512) 913-5857.
What is Douglas Dalke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Douglas Dalke enrolled in Medicare?
Yes. Douglas Dalke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Douglas Dalke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dalke reassigns Medicare benefits to Diabetes And Glandular Disease Clinic PA (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Dalke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Dalke accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Douglas Dalke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Douglas Dalke was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Douglas Michael Dalke, FNP-BC · NPI 1104507656
Family physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1104507656 (Entity type: Individual)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1127691 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5107 MEDICAL DR, San Antonio, TX 78229-4801
- **Phone:** (512) 913-5857
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Diabetes And Glandular Disease Clinic PA (NPI 1427166305, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104507656) · Data from the CMS NPPES public registry.