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NADIA N DOUGLAS
NPI 1720656192
Nurse Practitioner - Family in Bronx, NY

Active since June 14, 2021PECOS Enrolled
3332 ROCHAMBEAU AVE, BRONX, NY 10467(718) 920-5157(718) 655-0934 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nadia N Douglas NPPES

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

NADIA N DOUGLAS (NPI 1720656192) is an individual family provider in Bronx, New York, licensed in New York (F346836-01) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720656192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNADIA N DOUGLAS
Location Address3332 ROCHAMBEAU AVEBronx, NY 10467-2836
Mailing Address3332 Rochambeau AveBronx, NY 10467-2836 · (718) 920-5157
Phone(718) 920-5157
Fax(718) 655-0934
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 14, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1720656192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F346836-01
3332 ROCHAMBEAU AVE, Bronx, NY 10467
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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)

Nadia N Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274931340
PECOS Enrollment IDI20211005001544
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

ROBERT MCKEE DMD
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE, DEPARTMENT OF DENTISTRY
BRONX, NY 10467
Bronx County (718) 920-6266
KARI M PLEWNIAK M.D.
Obstetrics & Gynecology
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-5157
DR. PATRICK J NOLAN DDS
Oral & Maxillofacial Surgery
3332 ROCHAMBEAU AVE, 2ND FLOOR
BRONX, NY 10467
Bronx County (718) 920-5993
HIMABINDU GURUGUNTLA REDDY MD, MPH
Obstetrics & Gynecology (Gynecology)
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (919) 802-8486
JOANN KANG M.D.
Ophthalmology (Cornea and External Diseases Specialist)
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-2020
DR. SAMMY DAVID SAKA DMD
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-6266
DR. JASON J BRUCKER MD
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-6731
DR. MARISSA ERICKSON DDS
Student in an Organized Health Care Education/Training Program
3332 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-6266

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 Nadia Douglas's NPI number?

The NPI number for Nadia Douglas is 1720656192. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Nadia Douglas located?

Nadia Douglas practices at 3332 Rochambeau Ave, Bronx, NY 10467. The listed phone number is (718) 920-5157.

What is Nadia Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nadia Douglas enrolled in Medicare?

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

Is Nadia Douglas affiliated with any hospitals?

According to CMS data, Nadia Douglas is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Nadia Douglas was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.