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DR. KATHERINE ERIN DOUGLAS MD
NPI 1154957132
Pediatrics in Boston, MA

Active since March 21, 2020PECOS Enrolled
300 LONGWOOD AVE, DEPARTMENT OF PEDIATRICS, BOSTON, MA 02115(617) 355-6224 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Jul 14, 2023, Jun 2, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Katherine Erin Douglas Md NPPES

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

DR. KATHERINE ERIN DOUGLAS MD (NPI 1154957132) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (1013847) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1154957132
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHERINE ERIN DOUGLASCredential: MD
Location Address300 LONGWOOD AVE, DEPARTMENT OF PEDIATRICSBoston, MA 02115
Mailing Address300 Longwood Ave, Bch3066Boston, MA 02115 · (617) 355-6624 · Fax (617) 730-0335
Phone(617) 355-6224
Sole ProprietorNo
Enumeration DateMarch 21, 2020
Last NPPES UpdateApril 25, 20255 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1154957132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 1013847
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 1013847 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
300 LONGWOOD AVE, Boston, MA 02115
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Secondary Practice Location 1

Location 1780 Albany StBoston, MA 02118-2755 · Phone (857) 654-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Erin Douglas Md 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 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Katherine Douglas's NPI number?

The NPI number for Katherine Douglas is 1154957132. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Katherine Douglas located?

Katherine Douglas practices at 300 Longwood Ave Department Of Pediatrics, Boston, MA 02115. The listed phone number is (617) 355-6224.

What is Katherine Douglas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Douglas enrolled in Medicare?

Yes. Katherine Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Douglas was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.