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JOSEPH DANIEL DOUGHTEN MD
NPI 1902326267
Internal Medicine in New Rochelle, NY

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
16 GUION PL, NEW ROCHELLE, NY 10801(914) 632-5000 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2023, Apr 14, 2021, Jun 27, 2017 (3 updates tracked since 2017).

About Joseph Daniel Doughten Md NPPES

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

JOSEPH DANIEL DOUGHTEN MD (NPI 1902326267) is an individual internal medicine provider in New Rochelle, New York, licensed in California (A171114) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902326267
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH DANIEL DOUGHTENCredential: MD
Location Address16 GUION PLNew Rochelle, NY 10801-5502
Mailing Address4435 Brockton AveRiverside, CA 92501-4004 · (951) 333-5688
Phone(914) 632-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 27, 2017
Last NPPES UpdateJanuary 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1902326267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A171114
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.
16 GUION PL, New Rochelle, NY 10801
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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

Joseph Daniel Doughten Md 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 ID5991045858
PECOS Enrollment IDI20210429001246
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 Reassignment

Medicare enrollment records show Joseph Doughten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,402 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 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.

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.

DR. RAMATALLAH ATINUKE BALOGUN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
HYUN CHUNG MD
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
ELANA MIRIAM FRIEDMAN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
MICHELLE RENEE EWART MD
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
DR. DANIEL HAROLD POMERANTZ MD
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3615
DR. BURTON L HERZ M.D.
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 637-1396
DR. MA PAMELA GALLARDO DEMIGILLO MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-5000
ABHISHEK BASNET MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680

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 Joseph Doughten's NPI number?

The NPI number for Joseph Doughten is 1902326267. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Joseph Doughten located?

Joseph Doughten practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 632-5000.

What is Joseph Doughten's specialty?

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

Is Joseph Doughten enrolled in Medicare?

Yes. Joseph Doughten 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 organization bills Medicare for Joseph Doughten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Doughten reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Joseph Doughten'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 Joseph Doughten was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.