MITCHELL DOUGLASS MD
NPI 1497938682
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, KS
About Mitchell Douglass Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL DOUGLASS MD (NPI 1497938682) is an individual child & adolescent psychiatry provider in Kansas City, Kansas, licensed in Kansas (04-33872) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.
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 (PECOS)
Mitchell Douglass Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mitchell Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kansas City, KS 66160
- Reassigned Medicare billing, Kansas enrollment
- 2,139 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.
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.
KANSAS CITY, KS 66102
KANSAS CITY, KS 66102
KANSAS CITY, KS 66102
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 Mitchell Douglass's NPI number?
The NPI number for Mitchell Douglass is 1497938682. It was assigned to this individual provider in the NPPES registry on December 11, 2007.
Where is Mitchell Douglass located?
Mitchell Douglass practices at 1301 N 47th St, Kansas City, KS 66102. The listed phone number is (913) 563-6500.
What is Mitchell Douglass's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Mitchell Douglass enrolled in Medicare?
Yes. Mitchell Douglass is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mitchell Douglass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Douglass reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). The 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 Mitchell Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Douglass accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City list Mitchell Douglass 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.
When was this NPI record last updated?
The NPPES record for Mitchell Douglass was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mitchell Douglass, MD · NPI 1497938682
Child & Adolescent Psychiatry physician in Kansas City, Kansas. Individual provider, active in the CMS NPPES registry since December 11, 2007.
## Identity
- **NPI:** 1497938682 (Entity type: Individual)
- **Enumerated:** December 11, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 04-33872 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 N 47TH ST, Kansas City, KS 66102-1705
- **Phone:** (913) 563-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kansas University Physicians Inc (NPI 1053457978, Kansas City, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1497938682) · Data from the CMS NPPES public registry.