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DR. STEPHANIE DOUGLAS M.D.
NPI 1679986277
Physical Medicine & Rehabilitation - Sports Medicine in Palo Alto, CA

Active since June 11, 2014PECOS Enrolled
425 PAGE MILL RD STE 200, PALO ALTO, CA 94306(650) 665-9184(650) 710-5985 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Sep 5, 2024, Aug 2, 2024 and 3 more (6 updates tracked since 2020).

About Dr. Stephanie Douglas M.d. NPPES

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

DR. STEPHANIE DOUGLAS M.D. (NPI 1679986277) is an individual sports medicine provider in Palo Alto, California, licensed in California (A198522) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2014).

NPPES Registry Identity

NPI1679986277
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameDR. STEPHANIE DOUGLASCredential: M.D.
Location Address425 PAGE MILL RD STE 200Palo Alto, CA 94306-2075
Mailing Address425 Page Mill Rd Ste 200Palo Alto, CA 94306-2075 · (650) 665-9184 · Fax (650) 710-5985
Phone(650) 665-9184
Fax(650) 710-5985
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateJanuary 23, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1679986277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · A198522
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
425 PAGE MILL RD STE 200, Palo Alto, CA 94306
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID749764405
PECOS Enrollment IDI20260319003894
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 Stephanie Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
6.4 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephanie Douglas's NPI number?

The NPI number for Stephanie Douglas is 1679986277. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Stephanie Douglas located?

Stephanie Douglas practices at 425 Page Mill Rd Ste 200, Palo Alto, CA 94306. The listed phone number is (650) 665-9184.

What is Stephanie Douglas's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Stephanie Douglas enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Douglas reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, 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 Stephanie 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 Stephanie Douglas was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.