Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Beaty Fair, MD

Individual provider Pediatrics Physician · NPI 1265750061

Douglas Beaty Fair, MD is a Pediatric Medicine in Albany, New York. Qualified in 2010, 16 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

540 Myrtle Ave
Albany, NY 12208-3303
Phone: (518) 321-8582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 8653218-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 8653218-1205 (UT)

Record details

NPI number1265750061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address540 Myrtle Ave, Albany, NY 12208-3303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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