APRIL MCDOUGAL D.O.
NPI 1235523192
Internal Medicine - Infectious Disease in Galveston, TX

Q: What is April Mcdougal's NPI number?

The NPI number for April Mcdougal is 1235523192. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is April Mcdougal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for April Mcdougal was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

1005 HARBORSIDE DR., FL 6, GALVESTON, TX 77555(409) 772-0644 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Oct 9, 2024 (2 updates tracked since 2024).

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About April Mcdougal D.o. NPPES

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

APRIL MCDOUGAL D.O. (NPI 1235523192) is an individual infectious disease provider in Galveston, Texas, licensed in Texas (S7281) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1235523192

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameAPRIL MCDOUGALCredential: D.O.

Location Address1005 HARBORSIDE DR., FL 6Galveston, TX 77555

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-8757 · Fax (708) 216-1259

Phone(409) 772-0644

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 27, 2015

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1235523192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TX · S7281

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125066827 (IL)

1005 HARBORSIDE DR., Galveston, TX 77555

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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-8757 · Fax (708) 216-1259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

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

April Mcdougal D.o. 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 ID8123320090

PECOS Enrollment IDI20200708002484

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 3

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.

115 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

Other Providers at the Same Location NPPES 4

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

MOHAMMED M QASSWAL MD

Internal Medicine (Gastroenterology)

1005 HARBORSIDE DR., FL 6
GALVESTON, TX 77555

Galveston County (409) 772-0122

AJAY K ISRANI MD

Internal Medicine (Nephrology)

1005 HARBORSIDE DR., FL 6
GALVESTON, TX 77555

Galveston County (409) 772-0750

FATIMA KHAN M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1005 HARBORSIDE DR., FL 6
GALVESTON, TX 77555

Galveston County (409) 722-2328

HEMIL GONZALEZ MD

Internal Medicine (Infectious Disease)

1005 HARBORSIDE DR., FL 6
GALVESTON, TX 77555

Galveston County (409) 772-0644

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 April Mcdougal's NPI number?

The NPI number for April Mcdougal is 1235523192. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is April Mcdougal located?

April Mcdougal practices at 1005 Harborside Dr. Fl 6, Galveston, TX 77555. The listed phone number is (409) 772-0644.

What is April Mcdougal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is April Mcdougal enrolled in Medicare?

Yes. April Mcdougal 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.

What insurance does April Mcdougal accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list April Mcdougal 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.

Is April Mcdougal affiliated with any hospitals?

According to CMS data, April Mcdougal is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for April Mcdougal was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.