MR. DEREK ANTHONY DOUGLAS
NPI 1740759349
Occupational Therapist in Brandywine, MD
About Mr. Derek Anthony Douglas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DEREK ANTHONY DOUGLAS (NPI 1740759349) is an individual occupational therapist in Brandywine, Maryland, licensed in Maryland (08644) and active in the NPI registry since November 2018. He maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Derek Anthony Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, SC 29072
- Reassigned Medicare billing, South Carolina enrollment
- 455 clinicians in this Medicare group
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 6
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.
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.
BRANDYWINE, MD 20613
BRANDYWINE, MD 20613
BRANDYWINE, MD 20613
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 Derek Douglas's NPI number?
The NPI number for Derek Douglas is 1740759349. It was assigned to this individual provider in the NPPES registry on November 13, 2018.
Where is Derek Douglas located?
Derek Douglas practices at 13950 Brandywine Rd, Brandywine, MD 20613. The listed phone number is (301) 782-2250.
What is Derek Douglas's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Derek Douglas enrolled in Medicare?
Yes. Derek Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Douglas reassigns Medicare benefits to Fox Rehabilitation Services Of South Carolina, LLC (Lexington, SC). 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 Derek 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 Derek Douglas was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.