DOUGLAS FAMILY MEDICINE, P.C.
NPI 1770602013
Family Medicine in Castle Rock, CO
About Douglas Family Medicine, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS FAMILY MEDICINE, P.C. (NPI 1770602013) is a healthcare organization registered as a family medicine in Castle Rock, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Belton Douglas Hallmark, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Family Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Douglas Family Medicine, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D1067837
Douglas Family Medicine, PC · Castle Rock, COFrequently 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 Family Medicine, P.C.'s NPI number?
The NPI number for Douglas Family Medicine, P.C. is 1770602013. It was assigned to this organization in the NPPES registry on March 28, 2007.
Where is Douglas Family Medicine, P.C. located?
Douglas Family Medicine, P.C. is located at 1189 S Perry St Ste 230, Castle Rock, CO 80104. The listed phone number is (303) 688-3434.
What is Douglas Family Medicine, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Douglas Family Medicine, P.C. enrolled in Medicare?
Yes. Douglas Family Medicine, P.C. is registered in the Medicare PECOS enrollment system.
When is Douglas Family Medicine, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Douglas Family Medicine, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Douglas Family Medicine, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Douglas Family Medicine, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D1067837) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Douglas Family Medicine, P.C. was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Douglas Family Medicine, P.c. · NPI 1770602013
Family Medicine organization in Castle Rock, Colorado. Organization record, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1770602013 (Entity type: Organization)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Belton Hallmark, PRESIDENT
## Practice location
- **Address:** 1189 S PERRY ST STE 230, Castle Rock, CO 80104-1959
- **Phone:** (303) 688-3434 · **Fax:** (303) 688-4454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770602013) · Data from the CMS NPPES public registry.