DR. DOUGLAS JIMENEZ M.D.
NPI 1154474781
Family Medicine in Santa Rosa, CA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 459-6861 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Jimenez M.d. NPPES

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

DR. DOUGLAS JIMENEZ M.D. (NPI 1154474781) is an individual family medicine provider in Santa Rosa, California, licensed in California (A73110) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1154474781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOUGLAS JIMENEZCredential: M.D.
Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112
Mailing Address751 Lombardi Ct Ste BSanta Rosa, CA 95407-6793 · (707) 547-2222 · Fax (707) 547-2229
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 31, 2018
NPI 1154474781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A73110
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 N DUTTON AVE, Santa Rosa, CA 95401

Secondary Practice Location 1

Location 1751 Lombardi Ct Ste BSanta Rosa, CA 95407-6793 · Phone (707) 547-2222 · Fax (707) 547-2229

Other Identifiers 1

Medicaid00A731100CA

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. Douglas Jimenez 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 ID7719879899
PECOS Enrollment IDI20170727002656
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$97.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Dental Hygienist
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Pharmacist
1300 N DUTTON AVE
SANTA ROSA, CA 95401

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 Jimenez's NPI number?

The NPI number for Douglas Jimenez is 1154474781. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Douglas Jimenez located?

Douglas Jimenez practices at 1300 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 459-6861.

What is Douglas Jimenez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Jimenez enrolled in Medicare?

Yes. Douglas Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas Jimenez was last updated on July 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.