DR. DIANA G DOULEH MD
NPI 1467983148
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Warwick, RI

Q: What is Diana Douleh's NPI number?

The NPI number for Diana Douleh is 1467983148. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Diana Douleh's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Diana Douleh was last updated on August 13, 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.

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

300 CROSSINGS BLVD, WARWICK, RI 02886(401) 777-7000 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2017).

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About Dr. Diana G Douleh Md NPPES

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

DR. DIANA G DOULEH MD (NPI 1467983148) is an individual orthopaedic surgery of the spine provider in Warwick, Rhode Island, licensed in Rhode Island (MD19853) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Vanderbilt University School Of Medicine (2017).

NPPES Registry Identity

NPI1467983148

Entity TypeIndividualFemale

Primary Taxonomy207XS0117X

Provider Legal NameDR. DIANA G DOULEHCredential: MD

Location Address300 CROSSINGS BLVDWarwick, RI 02886-2878

Mailing Address200 Crossings Blvd Ste 310Warwick, RI 02886-2872 · (401) 777-7000

Phone(401) 777-7000

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2017

Enumeration DateMarch 23, 2017

Last NPPES UpdateAugust 13, 20266 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1467983148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in RI · MD19853

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

300 CROSSINGS BLVD, Warwick, RI 02886

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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. Diana G Douleh Md 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 ID7214204767

PECOS Enrollment IDI20240910000631

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 Diana Douleh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedics Rhode Island, Inc

Same address

Orthopaedic Surgery

300 CROSSINGS BLVD
Warwick, RI 02886

Reassigned Medicare billing, Rhode Island enrollment
115 clinicians in this Medicare group

NPI 1407231293 (401) 777-7000

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

Areas of Expertise CMS Part B claims 5

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.

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

85 services14 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.

44 services38 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

33 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

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.

79.29/100

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

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

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.

LIA MARIE MOCERI

Physician Assistant