NATHALIE DOUGE M.D.
NPI 1891108692
Hospitalist in New Hyde Park, NY

Q: What is Nathalie Douge's NPI number?

The NPI number for Nathalie Douge is 1891108692. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Q: What is Nathalie Douge's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathalie Douge was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 09, 2014PECOS EnrolledAccepts Medicare Assignment

79.52/100

CMS Quality Rating

27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3116 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 9, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Nathalie Douge M.d. NPPES

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

NATHALIE DOUGE M.D. (NPI 1891108692) is an individual hospitalist provider in New Hyde Park, New York, licensed in New York (289320) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1891108692

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNATHALIE DOUGECredential: M.D.

Location Address27005 76TH AVENew Hyde Park, NY 11040-1402

Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402

Phone(718) 470-3116

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2014

Enumeration DateJune 9, 2014

Last NPPES UpdateJune 30, 20255 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1891108692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 289320

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 101899 (MT)

27005 76TH AVE, New Hyde Park, NY 11040

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathalie Douge M.d. 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 ID9537431986

PECOS Enrollment IDI20211019001042, I20241206001681

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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

164 services162 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

51 services50 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531312

Location707 Sheridan AvenueCody, WY 82414 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.16

Promoting Interoperability

100

Improvement Activities

Cost

50.9

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.

YELENA PYATOV MD

Family Medicine

27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7700

DR. FARHEEN HASAN MD

Internal Medicine

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

LONG ISLAND JEWISH MEDICAL CENTER

General Acute Care Hospital

27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7875

ELIZABETH ALISON HOWSE M.D.

Emergency Medicine

27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7501

ANDY CHOY MD

Radiology (Diagnostic Radiology)

27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040

Nassau County (973) 692-8694

JOANNA M MIDY WHNP

Nurse Practitioner (Women's Health)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (516) 470-5304

XIXI XU

Nurse Anesthetist, Certified Registered

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

TYLER WEINSTEIN

Physician Assistant (Medical)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

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 Nathalie Douge's NPI number?

The NPI number for Nathalie Douge is 1891108692. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Nathalie Douge located?

Nathalie Douge practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3116.

What is Nathalie Douge's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nathalie Douge enrolled in Medicare?

Yes. Nathalie Douge 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.

What insurance does Nathalie Douge accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, CareSource, Medica and Mountain Health CO-OP list Nathalie Douge 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.

Is Nathalie Douge affiliated with any hospitals?

According to CMS data, Nathalie Douge is affiliated with Baptist Health Medical Center - Jacksonville, Billings Clinic and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Nathalie Douge was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.