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DOUGLAS K DEW M.D. P.A.
NPI 1174521942
Specialist in Palatka, FL

Active since July 14, 2005
6050 SAINT JOHNS AVE, SUITE 3, PALATKA, FL 32177(904) 825-2737(904) 825-2303 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas K Dew M.d. P.a. NPPES

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

DOUGLAS K DEW M.D. P.A. (NPI 1174521942) is a healthcare organization registered as a specialist in Palatka, Florida and active in the NPI registry since July 2005. The organization lists Douglas K Dew, Orthopaedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1174521942
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOUGLAS K DEW M.D. P.A.
Location Address6050 SAINT JOHNS AVE, SUITE 3Palatka, FL 32177-6860
Mailing AddressPo Box 1459Palatka, FL 32178-1459 · (904) 825-2737 · Fax (904) 825-2303
Phone(904) 825-2737
Fax(904) 825-2303
Organization SubpartNo
Authorized OfficialDouglas K DewOrthopaedic Surgeon · (904) 825-2737
Enumeration DateJuly 14, 2005
Last NPPES UpdateApril 7, 2016
✔ NPI 1174521942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME51037
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6050 SAINT JOHNS AVE, Palatka, FL 32177
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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 K Dew M.d. P.a. 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 K Dew M.D. P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Douglas Dew, M.D., MBA
Orthopedic Surgery
NPI 1699964916
6050 SAINT JOHNS AVE SUTIE 3
Palatka, FL 32177
(904) 825-2737
✔ PECOS✔ Accepts Medicare3.2 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 K Dew M.D. P.A.'s NPI number?

The NPI number for Douglas K Dew M.D. P.A. is 1174521942. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Douglas K Dew M.D. P.A. located?

Douglas K Dew M.D. P.A. is located at 6050 Saint Johns Ave Suite 3, Palatka, FL 32177. The listed phone number is (904) 825-2737.

What is Douglas K Dew M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas K Dew M.D. P.A. enrolled in Medicare?

Yes. Douglas K Dew M.D. P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas K Dew M.D. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Douglas K Dew M.D. P.A.. 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 K Dew M.D. P.A. was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.