1. Home
  2. Directory
  3. Alaska
  4. Kotzebue
  5. Family Medicine
  6. NPI Profile

DR. KIMBERLY MARIE DOUGLAS M.D.
NPI 1770675738
Family Medicine in Kotzebue, AK

Active since September 28, 2006PECOS Enrolled
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752(907) 442-3321(907) 442-7250 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kimberly Marie Douglas M.d. NPPES

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

DR. KIMBERLY MARIE DOUGLAS M.D. (NPI 1770675738) is an individual family medicine provider in Kotzebue, Alaska, licensed in Alaska (6568) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770675738
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY MARIE DOUGLASCredential: M.D.
Location Address436 5TH & TED STEVENS WAYKotzebue, AK 99752-0043
Mailing AddressPo Box 43Kotzebue, AK 99752-0043 · (907) 223-4365 · Fax (907) 442-7306
Phone(907) 442-3321
Fax(907) 442-7250
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 29, 2011
✔ NPI 1770675738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 6568
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
436 5TH & TED STEVENS WAY, Kotzebue, AK 99752
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kimberly Marie Corral M.d.

Other Identifiers 4

MedicaidHS19OPAK
MedicaidHS19IPAK
Medicare OSCAR/certification021310AK
Medicare PINTEZ042AK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Kimberly Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maniilaq Association
Same address
Critical Access
436 5TH & TED STEVENS WAY
Kotzebue, AK 99752
  • Reassigned Medicare billing, Alaska and Texas enrollments
  • Also billed through NPI 1861698805 (Texas)
  • 100 clinicians in this Medicare group
NPI 1316995210 (907) 442-3321

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99752 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

MANIILAQ ASSOCIATION
Dentist
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MANIILAQ ASSOCIATION
Family Medicine
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MANIILAQ ASSOCIATION
General Acute Care Hospital (Rural)
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
LAURA RAMOTH CHP
Community Health Worker
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
LLOYD MARK MCKINNEY PA
Physician Assistant
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
DR. JAMES MICHAEL FARRINGTON MD
Family Medicine
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7148
MRS. AMY JUNE CARTER COMMUNITY HEALTH AID
Community Health Worker
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MS. MARY ANGELA MALONEY CNM
Advanced Practice Midwife
436 5TH & TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321

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 Kimberly Douglas's NPI number?

The NPI number for Kimberly Douglas is 1770675738. It was assigned to this individual provider in the NPPES registry on September 28, 2006. The provider is also known as Dr. Kimberly Marie Corral M.D..

Where is Kimberly Douglas located?

Kimberly Douglas practices at 436 5th & Ted Stevens Way, Kotzebue, AK 99752. The listed phone number is (907) 442-3321.

What is Kimberly Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Douglas enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Douglas reassigns Medicare benefits to Maniilaq Association (Kotzebue, AK). 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 Kimberly 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 Kimberly Douglas was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.