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DR. MICHAEL STEPHEN DOUGLAS M.D.
NPI 1639523665
Anesthesiology in Moreno Valley, CA

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4574 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2021, Jun 13, 2018, Jun 27, 2016 (3 updates tracked since 2016).

About Dr. Michael Stephen Douglas M.d. NPPES

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

DR. MICHAEL STEPHEN DOUGLAS M.D. (NPI 1639523665) is an individual anesthesiology provider in Moreno Valley, California, licensed in California (A151081) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of Loma Linda University School Of Medicine (2016).

NPPES Registry Identity

NPI1639523665
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MICHAEL STEPHEN DOUGLASCredential: M.D.
Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927
Mailing Address11234 Anderson St, Department Of AnesthesiologyLoma Linda, CA 92354-2804 · (909) 558-4389
Phone(951) 486-4574
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2016
Enumeration DateApril 15, 2016
Last NPPES UpdateDecember 27, 20233 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1639523665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A151081
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License A151081 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License A151081 (CA)
Also ListedHospitalistTaxonomy 208M00000X · License A151081 (CA)
26520 CACTUS AVE, Moreno Valley, CA 92555
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Secondary Practice Location 1

Location 111234 Anderson St, Department of AnesthesiologyLoma Linda, CA 92354 · Phone (909) 558-4015

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. Michael Stephen Douglas M.d. 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 ID2961811658
PECOS Enrollment IDI20210510002308
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 Michael Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Clinical Pathology
26520 CACTUS AVE
Moreno Valley, CA 92555
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1275191926 (909) 558-4000

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 2

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.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services18 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

MARINA BOYARSKY M.D.
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555
Riverside County (951) 486-5611
DR. THU KIEU NGUYEN HUYNH PHARM.D.
Pharmacist
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4613
ASHA PATEL RAJ DO
Family Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (714) 904-8341
COUNTY OF RIVERSIDE
Clinic/Center (Primary Care)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
MERETT W SAAD DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
GRACE SHINN
Pharmacist (Emergency Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
NOLAN S LANGFORD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-5434
DR. MY NGUYEN D.O.
Pediatrics
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000

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 Michael Douglas's NPI number?

The NPI number for Michael Douglas is 1639523665. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Michael Douglas located?

Michael Douglas practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (951) 486-4574.

What is Michael Douglas's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Douglas enrolled in Medicare?

Yes. Michael Douglas 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 organization bills Medicare for Michael Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Douglas reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Moreno Valley, CA). 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 Michael Douglas'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 Michael Douglas was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.