1. Home
  2. Directory
  3. California
  4. Palo Alto
  5. Pediatrics
  6. NPI Profile

DOUGLAS LEE VANDERBILT MD
NPI 1457340291
Pediatrics - Developmental - Behavioral Pediatrics in Palo Alto, CA

Active since October 14, 2005PECOS Enrolled
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Lee Vanderbilt Md NPPES

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

DOUGLAS LEE VANDERBILT MD (NPI 1457340291) is an individual developmental - behavioral pediatrics provider in Palo Alto, California, licensed in California (A75123) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1457340291
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDOUGLAS LEE VANDERBILTCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Phone(650) 497-8000
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1457340291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in CA · A75123✔ Licensed in MA · 213549
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License A75123 (CA)
725 WELCH RD, Palo Alto, CA 94304
Open in Google Maps ↗

Secondary Practice Location 1

Location 14650 W Sunset Blvd, MS#76Los Angeles, CA 90027-6062 · Phone (617) 414-5170 · Fax (323) 361-8566

Other Identifiers 1

Medicaid0179540MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Lee Vanderbilt 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.

Medicare Billing Reassignments

3

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

Lpch Medical Group Div Of Lucile
Same address
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762
Stanford Health Care
0.2 mi
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
NPI 1437292927 (650) 723-4000
Children's Hospital Los Angeles Medical Group, Inc.
317 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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 20

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

EIRI INENAGA MS, OTR/L
Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8218
WENDY LEIGH ADAMS ARNP
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KEVIN WEI-HAN CHI MD
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
ASHEEN RAMA MD
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
CRYSTAL LEE MACKALL MD
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
KRISTI LYNNE O'CONNOR OT
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
LAUREN GENNA ROOS NP
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000
SHALINI MITTAL MD
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 497-8000

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 Vanderbilt's NPI number?

The NPI number for Douglas Vanderbilt is 1457340291. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Douglas Vanderbilt located?

Douglas Vanderbilt practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Douglas Vanderbilt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Douglas Vanderbilt enrolled in Medicare?

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

Which organizations bill Medicare for Douglas Vanderbilt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Vanderbilt reassigns Medicare benefits to 3 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA), Stanford Health Care (Stanford, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Vanderbilt'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 Vanderbilt was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.