DOUGLAS MCILWAIN
NPI 1497145734
Nurse Anesthetist, Certified Registered in Birmingham, AL

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1497145734
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDOUGLAS MCILWAIN
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateOctober 25, 2022
✔ NPI 1497145734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-092555
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1717 6TH AVE S, Birmingham, AL 35233

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.

PECOS PAC ID840518296
PECOS Enrollment IDI20150414002437, I20251212000951
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

5

Medicare 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.

Nurse Anesthetist, Certified Registered
619 19TH ST S # JT845
Birmingham, AL 35249
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
Fort Payne, AL 35968
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
Anesthesiology
100 MEDICAL CENTER DR
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 150 clinicians in this Medicare group
Anesthesiology
575 N RIVER ST
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, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Physician 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.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
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.