MRS. GAVERAL DOUGLAS
NPI 1902238892
Nurse Practitioner - Family in Bronx, NY

Q: What is Gaveral Douglas's NPI number?

The NPI number for Gaveral Douglas is 1902238892. It was assigned to this individual provider in the NPPES registry on August 2, 2013.

Q: What is Gaveral Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gaveral Douglas was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 02, 2013PECOS EnrolledAccepts Medicare Assignment

1650 GRAND CONCOURSE, BRONX, NY 10457(646) 429-2938 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Gaveral Douglas NPPES

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

MRS. GAVERAL DOUGLAS (NPI 1902238892) is an individual family provider in Bronx, New York, licensed in New York (337809) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902238892

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GAVERAL DOUGLAS

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606

Mailing Address1650 Grand ConcourseBronx, NY 10457-7606 · (646) 429-2938

Phone(646) 429-2938

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 2, 2013

Last NPPES UpdateJanuary 12, 2017

✔ NPI 1902238892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 337809

1650 GRAND CONCOURSE, Bronx, NY 10457

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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 and accepts Medicare assignment

Mrs. Gaveral Douglas 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 ID9931334299

PECOS Enrollment IDI20131023000857

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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.

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.

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