MR. JOHN WILLIAM DOUGLAS MD
NPI 1972530335
Internal Medicine - Sleep Medicine in Gulfport, MS

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
15190 COMMUNITY RD, SUITE 220, GULFPORT, MS 39503(228) 539-3356(228) 539-3225 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John William Douglas Md NPPES

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

MR. JOHN WILLIAM DOUGLAS MD (NPI 1972530335) is an individual sleep medicine provider in Gulfport, Mississippi, licensed in Mississippi (8130) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1975).

NPPES Registry Identity

NPI1972530335
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameMR. JOHN WILLIAM DOUGLASCredential: MD
Location Address15190 COMMUNITY RD, SUITE 220Gulfport, MS 39503-3485
Mailing AddressPo Box 1810Gulfport, MS 39502 · (228) 575-1194 · Fax (228) 575-2917
Fax(228) 539-3225
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1975
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
NPI 1972530335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in MS · 8130
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedSpecialistTaxonomy 174400000X · License 08130 (MS)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 8130 (MS)
15190 COMMUNITY RD, Gulfport, MS 39503

Other Identifiers 2

Medicaid00019714MS
Other08130MS · State License

Accepted 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

Mr. John William Douglas 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 ID8123021797
PECOS Enrollment IDI20060821000426
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 10

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.

Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
67 services66 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
65 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
35 services35 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers267 claims267 services$36.97 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers277 claims277 services$89.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers270 claims716 services$34.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers186 claims1,043 services$18.62 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers81 claims476 services$14.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers266 claims266 services$54.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD, STE 220
GULFPORT, MS 39503
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Anesthesiology
15190 COMMUNITY RD
GULFPORT, MS 39503
Surgery
15190 COMMUNITY RD, SUITE250
GULFPORT, MS 39503
Urology
15190 COMMUNITY RD, SUITE 240
GULFPORT, MS 39503
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503

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 John Douglas's NPI number?

The NPI number for John Douglas is 1972530335. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is John Douglas located?

John Douglas practices at 15190 Community Rd Suite 220, Gulfport, MS 39503. The listed phone number is (228) 539-3356.

What is John Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is John Douglas enrolled in Medicare?

Yes. John Douglas 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 John Douglas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list John 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.

Is John Douglas affiliated with any hospitals?

According to CMS data, John Douglas is affiliated with Memorial Hospital At Gulfport and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for John Douglas was last updated on April 10, 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.