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CLAUDIA M DOUGLAS MD
NPI 1811351398
Internal Medicine in Seattle, WA

Active since April 11, 2016PECOS Enrolled
4540 SANDPOINT WAY NE, BUILDING 1, SUITE 200, SEATTLE, WA 98105(206) 987-4414 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2021, Aug 4, 2020 (2 updates tracked since 2020).

About Claudia M Douglas Md NPPES

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

CLAUDIA M DOUGLAS MD (NPI 1811351398) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD61065754) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811351398
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA M DOUGLASCredential: MD
Location Address4540 SANDPOINT WAY NE, BUILDING 1, SUITE 200Seattle, WA 98105
Mailing Address4540 Sand Point Way Ne Ste 200Seattle, WA 98105-3941 · (206) 987-2028
Phone(206) 987-4414
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1811351398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD61065754
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4540 SANDPOINT WAY NE, Seattle, WA 98105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudia M Douglas Md 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 Reassignments

2

Medicare enrollment records show Claudia Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Association Of Chrmc And University Physicians
0.1 mi
Pediatrics
4500 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • 1,443 clinicians in this Medicare group
NPI 1255449963 (206) 987-8450
Seattle Children's Hospital
0.2 mi
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1003319500 (206) 987-2000

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 98105 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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

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

ANTHONY T. LOVROVICH, DDS, PS
Dentist
4540 SANDPOINT WAY NE, SUITE 140
SEATTLE, WA 98105
King County (206) 525-7000

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 Claudia Douglas's NPI number?

The NPI number for Claudia Douglas is 1811351398. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Claudia Douglas located?

Claudia Douglas practices at 4540 Sandpoint Way NE Building 1, Suite 200, Seattle, WA 98105. The listed phone number is (206) 987-4414.

What is Claudia Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claudia Douglas enrolled in Medicare?

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

Which organizations bill Medicare for Claudia Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Douglas reassigns Medicare benefits to 2 organizations: The Association Of Chrmc And University Physicians (Seattle, WA) and Seattle Children's Hospital (Seattle, WA). 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 Claudia Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Douglas accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Claudia Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claudia Douglas was last updated on January 7, 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.