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

DR. DENZIL DOUGLAS M.D.
NPI 1699161075
Internal Medicine - Nephrology in Queens Village, NY

Q: What is Denzil Douglas's NPI number?

The NPI number for Denzil Douglas is 1699161075. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Denzil Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Denzil Douglas was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

97.04/100

CMS Quality Rating

20606 HILLSIDE AVE, QUEENS VILLAGE, NY 11427(718) 820-9729(718) 820-9730 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, Mar 9, 2026, Nov 7, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Denzil Douglas M.d. NPPES

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

DR. DENZIL DOUGLAS M.D. (NPI 1699161075) is an individual nephrology provider in Queens Village, New York, licensed in New York (301732) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Columbia University College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1699161075

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. DENZIL DOUGLASCredential: M.D.

Location Address20606 HILLSIDE AVEQueens Village, NY 11427-1710

Mailing AddressPo Box 416173Boston, MA 02241-6173 · (610) 644-8900 · Fax (484) 924-0053

Phone(718) 820-9729

Fax(718) 820-9730

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2015

Enumeration DateApril 13, 2015

Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1699161075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 301732

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 301732 (NY)

20606 HILLSIDE AVE, Queens Village, NY 11427

Open in Google Maps ↗

Secondary Practice Locations 8

Location 1960 40th StBrooklyn, NY 11219-1518 · Phone (718) 369-1444 · Fax (718) 369-3066

Location 21152 Kings Highway Cutoff Ste 104Fairfield, CT 06824-5273 · Phone (203) 330-0248 · Fax (203) 330-9730

Location 3900 Northern Blvd Ste 140Great Neck, NY 11021-5302 · Phone (516) 466-6760 · Fax (516) 466-6776

Location 435 E 110th St Fl 3New York, NY 10029-0450 · Phone (212) 427-9895 · Fax (212) 427-9897

Location 535 E 110th St Ste 2New York, NY 10029-0450 · Phone (212) 427-9895 · Fax (212) 427-9897

Location 6100 Hospital Rd Ste 203East Patchogue, NY 11772-8814 · Phone (516) 466-6760 · Fax (516) 466-6776

Location 73250 Westchester Ave Rm 102Bronx, NY 10461-4548 · Phone (718) 794-9729 · Fax (718) 794-9730

Location 83250 Westchester Ave Ste 128Bronx, NY 10461-4580 · Phone (718) 794-9729 · Fax (718) 794-9730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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. Denzil 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 ID2264779776

PECOS Enrollment IDI20210301002532, I20221206000946

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 Reassignments

Medicare enrollment records show Denzil Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Access Care Physician PLLC

13 mi

Vascular & Interventional Radiology

960 40TH ST
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
24 clinicians in this Medicare group

NPI 1235104878 (718) 369-1444

Connecticut Image Guided Surgery, PC

40 mi

Vascular & Interventional Radiology

1152 KINGS HIGHWAY CUTOFF STE 104
Fairfield, CT 06824

Reassigned Medicare billing, Connecticut enrollment
6 clinicians in this Medicare group

NPI 1730148784 (203) 330-0248

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 23

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

16,952 services235 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

270 services194 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

191 services156 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

112 services90 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

107 services91 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

94 services76 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

90 services45 patients

Injection, alteplase recombinant, 1 mg J2997

Alteplase recombinant is a medication given by injection. It's a clot-busting drug used to treat conditions like strokes or heart attacks by dissolving blood clots that block blood flow. The dose is typically 1 mg. It's crucial to administer it quickly after symptoms appear.

80 services23 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

77 services62 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

75 services60 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

63 services56 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

59 services48 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist 36906

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

41 services31 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

34 services29 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

34 services29 patients

Balloon dilation of vein with review by radiologist, initial vein 37248

Balloon dilation of a vein is a procedure where a small balloon is inserted into a narrowed vein. Once in place, the balloon is inflated to widen the vein and improve blood flow. The procedure is overseen by a radiologist, who uses imaging techniques to ensure accurate placement of the balloon. This is done on the initial vein requiring treatment.

31 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services24 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

23 services23 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

22 services20 patients

Balloon dilation of vein with review by radiologist, each additional vein 37249

Balloon dilation of a vein is a procedure where a small balloon is inserted into a narrowed vein. The balloon is then inflated to widen the vein, improving blood flow. A radiologist reviews the procedure to ensure accuracy. If additional veins require this treatment, the process is repeated.

20 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

15 services15 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

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.

97.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.09

Improvement Activities

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SERGIY SHURIN MD

Internal Medicine (Nephrology)

20606 HILLSIDE AVE
QUEENS VILLAGE, NY 11427

Queens County (718) 820-9729

DR. PETER PATETSIOS M.D., F.A.C.S

Surgery (Vascular Surgery)

20606 HILLSIDE AVE
QUEENS VILLAGE, NY 11427

Queens County (718) 820-9729

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 Denzil Douglas's NPI number?

The NPI number for Denzil Douglas is 1699161075. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Denzil Douglas located?

Denzil Douglas practices at 20606 Hillside Ave, Queens Village, NY 11427. The listed phone number is (718) 820-9729.

What is Denzil Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Denzil Douglas enrolled in Medicare?

Yes. Denzil 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 organizations bill Medicare for Denzil Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denzil Douglas reassigns Medicare benefits to 2 organizations: American Access Care Physician PLLC (Brooklyn, NY) and Connecticut Image Guided Surgery, PC (Fairfield, CT). Each 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 Denzil Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denzil Douglas accept?

Health plans from Anthem Blue Cross and Blue Shield list Denzil Douglas 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 Denzil Douglas was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.