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DR. DOUGLAS CONRAD FULLER M.D., MPH
NPI 1649268533
Preventive Medicine - Occupational Medicine in Nellis Afb, NV

Active since October 13, 2005PECOS Enrolled
4311 CARSWELL AVE BLDG 340, NELLIS AFB, NV 89191(702) 653-3431(702) 653-3591 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Conrad Fuller M.d., Mph NPPES

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

DR. DOUGLAS CONRAD FULLER M.D., MPH (NPI 1649268533) is an individual occupational medicine provider in Nellis Afb, Nevada, licensed in Nevada (18972) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649268533
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. DOUGLAS CONRAD FULLERCredential: M.D., MPH
Location Address4311 CARSWELL AVE BLDG 340Nellis Afb, NV 89191-7069
Mailing Address4811 Carswell Dr. Bldg 340Nellis Afb, NV 89191 · (702) 653-3431 · Fax (702) 653-3591
Phone(702) 653-3431
Fax(702) 653-3591
Sole ProprietorYes
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1649268533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Licenses✔ Licensed in NV · 18972✔ Licensed in UT · 358526-1205
Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 18972 (NV)
4311 CARSWELL AVE BLDG 340, Nellis Afb, NV 89191
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Conrad Fuller M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fuller's NPI number?

The NPI number for Douglas Fuller is 1649268533. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Douglas Fuller located?

Douglas Fuller practices at 4311 Carswell Ave Bldg 340, Nellis Afb, NV 89191. The listed phone number is (702) 653-3431.

What is Douglas Fuller's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Douglas Fuller enrolled in Medicare?

Yes. Douglas Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Fuller was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.