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DR. DOUGLAS M. HARGRAVE M.D.
NPI 1225001761
Specialist in Albany, NY

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
455 PATROON CREEK BLVD., SUITE 101, ALBANY, NY 12206(518) 438-0505(518) 438-4517 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas M. Hargrave M.d. NPPES

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

DR. DOUGLAS M. HARGRAVE M.D. (NPI 1225001761) is an individual specialist in Albany, New York, licensed in New York (164432-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (1984).

NPPES Registry Identity

NPI1225001761
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. DOUGLAS M. HARGRAVECredential: M.D.
Location Address455 PATROON CREEK BLVD., SUITE 101Albany, NY 12206
Mailing Address455 Patroon Creek Blvd., Suite 101Albany, NY 12206 · (518) 438-0505 · Fax (518) 438-4517
Phone(518) 438-0505
Fax(518) 438-4517
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1984
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1225001761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 164432-1
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.
455 PATROON CREEK BLVD., Albany, NY 12206
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Other Identifiers 3

Medicare UPINE15504NY
Medicare ID-Type Unspecified33395GNY
Medicaid012459918NY

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

Dr. Douglas M. Hargrave 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 ID4486683760
PECOS Enrollment IDI20110326000068
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 Reassignment

Medicare enrollment records show Douglas Hargrave reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plastic Surgery Associates LLP
Same address
Specialist
455 PATROON CREEK BLVD, SUITE 101
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1760757652 (518) 438-0505

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN M. GANNON M.D.
Specialist
455 PATROON CREEK BLVD., SUITE 101
ALBANY, NY 12206
Albany County (518) 438-0505
DR. STEVEN M. LYNCH MD.
Specialist
455 PATROON CREEK BLVD., SUITE 101
ALBANY, NY 12206
Albany County (518) 438-0505

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 Hargrave's NPI number?

The NPI number for Douglas Hargrave is 1225001761. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Douglas Hargrave located?

Douglas Hargrave practices at 455 Patroon Creek Blvd. Suite 101, Albany, NY 12206. The listed phone number is (518) 438-0505.

What is Douglas Hargrave's specialty?

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

Is Douglas Hargrave enrolled in Medicare?

Yes. Douglas Hargrave 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.

Which organization bills Medicare for Douglas Hargrave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Hargrave reassigns Medicare benefits to Plastic Surgery Associates LLP (Albany, NY). The 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 Douglas Hargrave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Hargrave was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.