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DOUGLAS M TEW MD LLC
NPI 1114482494
Internal Medicine in Penney Farms, FL

Active since January 31, 2019
2 PAVILION PLACE, PENNEY FARMS, FL 32079(904) 945-1224 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas M Tew Md Llc NPPES

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

DOUGLAS M TEW MD LLC (NPI 1114482494) is a healthcare organization registered as an internal medicine in Penney Farms, Florida and active in the NPI registry since January 2019. The organization lists Douglas M Tew, Owner, as its authorized official.

NPPES Registry Identity

NPI1114482494
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDOUGLAS M TEW MD LLC
Location Address2 PAVILION PLACEPenney Farms, FL 32079
Mailing Address2301 Park Ave Ste 209Orange Park, FL 32073-5558 · (904) 945-1224
Phone(904) 945-1224
Organization SubpartNo
Authorized OfficialDouglas M TewOwner · (904) 945-1224
Enumeration DateJanuary 31, 2019
✔ NPI 1114482494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 PAVILION PLACE, Penney Farms, FL 32079
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Other Names 1

Former Legal Business NameDouglas M Tew Md Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas M Tew Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Douglas M Tew MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Douglas Tew, MD
Cardiovascular Disease (Cardiology)
NPI 1568429769
2035 PROFESSIONAL CTR DR SUITE C
Orange Park, FL 32073
(904) 272-0384
✔ PECOS✔ Accepts Medicare14 mi

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

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 M Tew MD LLC's NPI number?

The NPI number for Douglas M Tew MD LLC is 1114482494. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Douglas M Tew MD LLC located?

Douglas M Tew MD LLC is located at 2 Pavilion Place, Penney Farms, FL 32079. The listed phone number is (904) 945-1224.

What is Douglas M Tew MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas M Tew MD LLC enrolled in Medicare?

Yes. Douglas M Tew MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas M Tew MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Douglas M Tew MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Douglas M Tew MD LLC was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.