DOUGLAS MICHAEL DALKE FNP-BC
NPI 1104507656
Nurse Practitioner - Family in San Antonio, TX

Q: 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.

Q: What is Douglas Dalke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since July 27, 2023PECOS Enrolled

5107 MEDICAL DR, SAN ANTONIO, TX 78229(512) 913-5857 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jul 27, 2023 (2 updates tracked since 2023).

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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

NPI1104507656

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDOUGLAS MICHAEL DALKECredential: FNP-BC

Location Address5107 MEDICAL DRSan Antonio, TX 78229-4801

Mailing Address5107 Medical DrSan Antonio, TX 78229-4801 · (512) 913-5857

Phone(512) 913-5857

Sole ProprietorYes

Enumeration DateJuly 27, 2023

Last NPPES UpdateApril 9, 20242 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1104507656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1127691

5107 MEDICAL DR, San Antonio, TX 78229

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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 Michael Dalke Fnp-bc 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.

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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CARLEE D DUNLAP ANP

Registered Nurse