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KAREN V. DOUGLASS M.D.
NPI 1992782270
Emergency Medicine in Twinsburg, OH

Active since December 28, 2005PECOS Enrolled
8819 COMMONS BLVD., TWINSBURG, OH 44087(330) 405-1500(330) 656-5901 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen V. Douglass M.d. NPPES

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

KAREN V. DOUGLASS M.D. (NPI 1992782270) is an individual emergency medicine provider in Twinsburg, Ohio, licensed in Ohio (35051047) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992782270
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKAREN V. DOUGLASSCredential: M.D.
Location Address8819 COMMONS BLVD.Twinsburg, OH 44087
Mailing Address5700 Darrow Rd, Suite 106Hudson, OH 44236-5021 · (330) 656-9304 · Fax (330) 656-5901
Phone(330) 405-1500
Fax(330) 656-5901
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 11, 2011
✔ NPI 1992782270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35051047
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
8819 COMMONS BLVD., Twinsburg, OH 44087
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Other Names 1

Former Name (1)Karen D. Villalba M.d.

Other Identifiers 3

Medicare UPINE29651
Medicaid0740792OH
Medicare ID-Type UnspecifiedVI0638855OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen V. Douglass M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Douglass reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
16 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
The Metrohealth System
17 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442
Emergency Professional Services, Inc.
199 mi
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
NPI 1093762353 (937) 386-3400

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
193 services181 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services91 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44087 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Karen Douglass's NPI number?

The NPI number for Karen Douglass is 1992782270. It was assigned to this individual provider in the NPPES registry on December 28, 2005. The provider is also known as Karen D. Villalba M.D..

Where is Karen Douglass located?

Karen Douglass practices at 8819 Commons Blvd., Twinsburg, OH 44087. The listed phone number is (330) 405-1500.

What is Karen Douglass's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karen Douglass enrolled in Medicare?

Yes. Karen Douglass is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Douglass reassigns Medicare benefits to 3 organizations: University Hospitals Medical Group Inc (Cleveland, OH), The Metrohealth System (Cleveland, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each 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 Karen Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Douglass accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Karen Douglass 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.

When was this NPI record last updated?

The NPPES record for Karen Douglass was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.