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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DOUGLAS W CARLSON MD
NPI 1669490132
Pediatrics - Pediatric Emergency Medicine in Springfield, IL

Active since July 17, 2006PECOS Enrolled
301 N 8TH ST, SUITE PAV4A, SPRINGFIELD, IL 62701(217) 545-8000(217) 545-2303 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 27, 2018 (2 updates tracked since 2018).

About Dr. Douglas W Carlson Md NPPES

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

DR. DOUGLAS W CARLSON MD (NPI 1669490132) is an individual pediatric emergency medicine provider in Springfield, Illinois, licensed in Illinois (036-136399) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669490132
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. DOUGLAS W CARLSONCredential: MD
Location Address301 N 8TH ST, SUITE PAV4ASpringfield, IL 62701-1041
Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-2303
Phone(217) 545-8000
Fax(217) 545-2303
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
✔ NPI 1669490132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in IL · 036-136399
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 036-136399 (IL)
301 N 8TH ST, Springfield, IL 62701
Open in Google Maps ↗

Other Identifiers 1

Medicaid103810102MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas W Carlson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc
0.4 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

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.

REBECCA L SAUNDERS CPNP
Nurse Practitioner
301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7500
TRACY P MILBRANDT M.D.
Pediatrics
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
ASHLEY KIRKPATRICK MSN,FNP-BC
Nurse Practitioner (Family)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-8000
JENNIFER LOUISE BERRY AUD
Audiologist
301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-6099
JOSHUA DALE CAMPBELL APRN
Nurse Practitioner (Adult Health)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
TODD DAVID ELMORE MD
Psychiatry & Neurology (Neurology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
CRAIG E BATTERMAN M.D.
Pediatrics
301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
DR. RAHUL NAYANI MD
Internal Medicine (Gastroenterology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541

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 Carlson's NPI number?

The NPI number for Douglas Carlson is 1669490132. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Douglas Carlson located?

Douglas Carlson practices at 301 N 8th St Suite Pav4a, Springfield, IL 62701. The listed phone number is (217) 545-8000.

What is Douglas Carlson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Douglas Carlson enrolled in Medicare?

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

Which organization bills Medicare for Douglas Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Carlson reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, IL). 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 Douglas Carlson'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 Douglas Carlson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.