MR. DAVID KEVIN DOUGLASS N.P.
NPI 1780624353
Nurse Practitioner in Pompano Beach, FL

Q: What is David Douglass's NPI number?

The NPI number for David Douglass is 1780624353. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is David Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for David Douglass was last updated on November 12, 2020. 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.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

1611 S FEDERAL HWY, POMPANO BEACH, FL 33062(954) 800-4185 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2020, Sep 29, 2016 (2 updates tracked since 2016).

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About Mr. David Kevin Douglass N.p. NPPES

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

MR. DAVID KEVIN DOUGLASS N.P. (NPI 1780624353) is an individual nurse practitioner in Pompano Beach, Florida, licensed in Florida (ARNP9433012) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780624353

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. DAVID KEVIN DOUGLASSCredential: N.P.

Location Address1611 S FEDERAL HWYPompano Beach, FL 33062-7514

Mailing Address1611 S Federal HwyPompano Beach, FL 33062-7514

Phone(954) 800-4185

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1780624353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9433012

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1611 S FEDERAL HWY, Pompano Beach, FL 33062

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Other Identifiers 3

OtherP00308336TN · Railroad Medicare

Medicaid3649094TN

Other4092979TN · Blue Cross

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

Mr. David Kevin Douglass N.p. 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 ID5092777151

PECOS Enrollment IDI20161020001235

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 David Douglass reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fl-I Medical Services PA

8.4 mi

Emergency Medicine

401 NW 42ND AVE
Plantation, FL 33317

Reassigned Medicare billing, Florida enrollment
210 clinicians in this Medicare group

NPI 1366717589 (954) 587-5010

Solantic/South Florida, LLC

9.3 mi

Urgent Care

1205 N UNIVERSITY DR
Coral Springs, FL 33071

Reassigned Medicare billing, Florida enrollment
167 clinicians in this Medicare group

NPI 1851344378 (954) 780-8134

West Boynton Urgent Care, LLC

22 mi

Urgent Care

8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472

Reassigned Medicare billing, Florida enrollment
83 clinicians in this Medicare group

NPI 1003172628 (561) 740-2273

Hma/Solantic Joint Venture, LLC

100 mi

Urgent Care

1820 58TH AVE., UNIT 110
Vero Beach, FL 32966

Reassigned Medicare billing, Florida enrollment
160 clinicians in this Medicare group

NPI 1689812109 (772) 257-3200

Shands/Solantic Joint Venture, LLC

273 mi

Urgent Care

720 SW 2ND AVE., 160A
Gainesville, FL 32601

Reassigned Medicare billing, Florida enrollment
167 clinicians in this Medicare group

NPI 1558595223 (352) 240-8000

Solantic Of Jacksonville, LLC

280 mi

Urgent Care

151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081

Reassigned Medicare billing, Florida enrollment
189 clinicians in this Medicare group

NPI 1407893100 (904) 543-3677

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 10

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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

99 services95 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

93 services93 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.

82 services77 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

69 services67 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services26 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33062 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 4

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

DAHLIA KHANNS NP

Nurse Practitioner (Family)

1611 S FEDERAL HWY
POMPANO BEACH, FL 33062

Broward County (954) 580-4001

SOLANTIC OF SOUTH FL, LLC

Clinic/Center (Urgent Care)

1611 S FEDERAL HWY
POMPANO BEACH, FL 33062

Broward County (954) 580-4001

LISA HOPE GROSSMAN PA

Physician Assistant

1611 S FEDERAL HWY
POMPANO BEACH, FL 33062

Broward County (954) 580-4001

SOLANTIC OF SOUTH FL LLC

Pharmacy

1611 S FEDERAL HWY
POMPANO BEACH, FL 33062

Broward County (954) 580-4001

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 David Douglass's NPI number?

The NPI number for David Douglass is 1780624353. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is David Douglass located?

David Douglass practices at 1611 S Federal Hwy, Pompano Beach, FL 33062. The listed phone number is (954) 800-4185.

What is David Douglass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Douglass enrolled in Medicare?

Yes. David Douglass 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 David Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Douglass reassigns Medicare benefits to 6 organizations: Fl-I Medical Services PA (Plantation, FL), Solantic/South Florida, LLC (Coral Springs, FL), West Boynton Urgent Care, LLC (Boynton Beach, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL) and 1 more organization, listed in the Medicare section above. 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 David Douglass'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 David Douglass was last updated on November 12, 2020. 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.