KRISTINA L DOUGLAS M.D.
NPI 1104916253
Radiology - Diagnostic Radiology in Tucson, AZ

Q: What is Kristina Douglas's NPI number?

The NPI number for Kristina Douglas is 1104916253. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kristina Douglas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Douglas was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 12, 2006PECOS EnrolledAccepts Medicare Assignment

60.99/100

CMS Quality Rating

677 N WILMOT RD, TUCSON, AZ 85711(520) 795-2889 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Nov 8, 2023 (2 updates tracked since 2023).

On this page

About Kristina L Douglas M.d. NPPES

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

KRISTINA L DOUGLAS M.D. (NPI 1104916253) is an individual diagnostic radiology provider in Tucson, Arizona, licensed in Arizona (52500) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of University Of California, Davis School Of Medicine (2001).

NPPES Registry Identity

NPI1104916253

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameKRISTINA L DOUGLASCredential: M.D.

Location Address677 N WILMOT RDTucson, AZ 85711-2701

Mailing Address700 E Morehead St Ste 300Charlotte, NC 28202-2742

Phone(520) 795-2889

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2001

Enumeration DateOctober 12, 2006

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1104916253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in AZ · 52500✔ Licensed in CA · A81074

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

677 N WILMOT RD, Tucson, AZ 85711

Open in Google Maps ↗

Secondary Practice Location 1

Location 1168 N Brent St, Suite 401Ventura, CA 93003-2817 · Phone (805) 652-5093 · Fax (805) 641-3965

Other Identifiers 2

Medicaid1104916253CA

Other00A810740CA · Bc Bs Of Ca

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina L Douglas M.d. 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 ID3870591001

PECOS Enrollment IDI20260318000714, I20260420002388, I20260527000671

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.

Medicare Billing Reassignments

Medicare enrollment records show Kristina Douglas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Ltd., LLC

Same address

Diagnostic Radiology

677 N WILMOT RD
Tucson, AZ 85711

Reassigned Medicare billing, California enrollment
8 clinicians in this Medicare group

NPI 1841261989 (520) 795-2889

Valley Perinatal Services, LLC

94 mi

Maternal & Fetal Medicine

1910 W FRYE RD
Chandler, AZ 85224

Reassigned Medicare billing, Arizona enrollment
92 clinicians in this Medicare group

NPI 1174866743 (480) 756-6000

Family First Medical Center, PLLC

777 mi

Family Medicine

3614 WASHINGTON PKWY
Idaho Falls, ID 83404

Reassigned Medicare billing, Idaho enrollment
25 clinicians in this Medicare group

NPI 1033314273 (208) 552-7700

Maiden Lane Medical, PLLC

2,117 mi

Gynecology

90 MAIDEN LN, THIRD FLOOR
New York, NY 10038

Reassigned Medicare billing, New York enrollment
25 clinicians in this Medicare group

NPI 1497291074 (646) 290-9560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,187 services1,108 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,186 services1,108 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

319 services289 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

224 services211 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

176 services164 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

145 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.02

Improvement Activities

Cost

19.44

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.

THOMAS R. CAIN M.D.

Radiology (Vascular & Interventional Radiology)