1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Pediatrics
  6. NPI Profile

DOUGLAS R ALLEN M.D.
NPI 1235232661
Pediatrics - Pediatric Cardiology in Richmond, VA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
5875 BREMO RD STE 500, RICHMOND, VA 23226(804) 297-3055(804) 297-3056 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2020, Aug 29, 2019 (2 updates tracked since 2019).

About Douglas R Allen M.d. NPPES

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

DOUGLAS R ALLEN M.D. (NPI 1235232661) is an individual pediatric cardiology provider in Richmond, Virginia, licensed in Virginia (0101057844) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1235232661
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDOUGLAS R ALLENCredential: M.D.
Location Address5875 BREMO RD STE 500Richmond, VA 23226-1928
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(804) 297-3055
Fax(804) 297-3056
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1235232661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in VA · 0101057844
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 0101057844 (VA)
5875 BREMO RD STE 500, Richmond, VA 23226
Open in Google Maps ↗

Secondary Practice Location 1

Location 11204 W Main StCharlottesville, VA 22903-2824 · Phone (434) 924-0123 · Fax (434) 243-3300

Other Identifiers 1

Medicaid6721541VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Douglas R Allen 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 ID6406917848
PECOS Enrollment IDI20081204000211
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 Reassignments

3

Medicare enrollment records show Douglas Allen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC
Same address
Pediatric Cardiology
5875 BREMO RD STE 500
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
NPI 1063144541 (804) 297-3055
Hca Health Services Of Virginia, Inc.
2.1 mi
Electrodiagnostic Medicine
1602 SKIPWITH RD
Richmond, VA 23229
  • Reassigned Medicare billing, Virginia enrollment
  • 26 clinicians in this Medicare group
NPI 1750768131 (804) 289-4500
University Of Virginia Physicians Group
63 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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 5

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

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Pediatrics (Pediatric Cardiology)
5875 BREMO RD STE 500
RICHMOND, VA 23226
Richmond City (804) 297-3055
ANDREW SEUNG-EUN KIM MD
Pediatrics (Pediatric Cardiology)
5875 BREMO RD STE 500
RICHMOND, VA 23226
Richmond City (804) 297-3055
DR. JENNIFER B HUMBERSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
5875 BREMO RD STE 500
RICHMOND, VA 23226
Richmond City (804) 297-3055
MACKENZIE RAEN LAMBERT CPNP-PC
Nurse Practitioner
5875 BREMO RD STE 500
RICHMOND, VA 23226
Richmond City (804) 297-3055
ADAM STUCKE M.S. LCGC
Genetic Counselor, MS
5875 BREMO RD STE 500
RICHMOND, VA 23226
Richmond City (804) 297-3055

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 Allen's NPI number?

The NPI number for Douglas Allen is 1235232661. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Douglas Allen located?

Douglas Allen practices at 5875 Bremo Rd Ste 500, Richmond, VA 23226. The listed phone number is (804) 297-3055.

What is Douglas Allen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Douglas Allen enrolled in Medicare?

Yes. Douglas Allen 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 organizations bill Medicare for Douglas Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Allen reassigns Medicare benefits to 3 organizations: Uva Community Health Medical Group, LLC (Richmond, VA), Hca Health Services Of Virginia, Inc. (Richmond, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Allen accept?

Health plans from Oscar Health list Douglas Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Allen was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.