TRELFORD OWEN MATTHEW DOUGLAS MD
NPI 1891633079
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Trelford Douglas's NPI number?

The NPI number for Trelford Douglas is 1891633079. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Trelford Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Trelford Douglas was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2026PECOS Enrolled

3005 N BALLAS RD STE 400, SAINT LOUIS, MO 63131(314) 996-7520 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Trelford Owen Matthew Douglas Md NPPES

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

TRELFORD OWEN MATTHEW DOUGLAS MD (NPI 1891633079) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891633079

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTRELFORD OWEN MATTHEW DOUGLASCredential: MD

Location Address3005 N BALLAS RD STE 400Saint Louis, MO 63131-2317

Mailing Address3005 N Ballas Rd Ste 400Saint Louis, MO 63131-2317

Phone(314) 996-7520

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 22, 2026

✔ NPI 1891633079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3005 N BALLAS RD STE 400, Saint Louis, MO 63131

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trelford Owen Matthew 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.

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Other Providers at the Same Location NPPES 18

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

DR. MATTHEW ROBINSON MD

Student in an Organized Health Care Education/Training Program