DOUGLAS MCILWAIN
NPI 1497145734
Nurse Anesthetist, Certified Registered in Birmingham, AL
About Douglas Mcilwain NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS MCILWAIN (NPI 1497145734) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (1-092555) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Mcilwain 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.
Medicare Billing Reassignments
5Medicare enrollment records show Douglas Mcilwain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35249
- Reassigned Medicare billing, Alabama enrollment
- 460 clinicians in this Medicare group
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Fort Payne, AL 35968
- Reassigned Medicare billing, Alabama enrollment
- 22 clinicians in this Medicare group
Hazard, KY 41701
- Reassigned Medicare billing, Kentucky enrollment
- 150 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Alabama enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Highlands Arh Regional Medical Center
Acute Care Hospitals · Prestonsburg, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BIRMINGHAM, AL 35233
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 Mcilwain's NPI number?
The NPI number for Douglas Mcilwain is 1497145734. It was assigned to this individual provider in the NPPES registry on January 26, 2015.
Where is Douglas Mcilwain located?
Douglas Mcilwain practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.
What is Douglas Mcilwain's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Douglas Mcilwain enrolled in Medicare?
Yes. Douglas Mcilwain 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 Mcilwain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Mcilwain reassigns Medicare benefits to 5 organizations: University Of Alabama At Birmingham (Birmingham, AL), University Of Alabama Health Services Foundation, PC (Birmingham, AL), Fort Payne Anesthesia Services LLC (Fort Payne, AL), Triangle Anesthesia Group Psc (Hazard, KY) and 360 Anesthesia PLLC (Wilkes Barre, PA). 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 Mcilwain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Mcilwain accept?
Health plans from Blue Cross and Blue Shield of Alabama list Douglas Mcilwain 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 Douglas Mcilwain affiliated with any hospitals?
According to CMS data, Douglas Mcilwain is affiliated with Highlands Arh Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Douglas Mcilwain was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.