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

Dr. Derek Douglas, MD

Individual provider Emergency Medicine Physician · NPI 1154747657

Dr. Derek Douglas, MD is an Emergency Medicine in Louisville, Kentucky. Graduated from University of Cincinnati College of Medicine in 2014, 12 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Kentucky and Ohio.

Years since qualifying
12
Trained at
University of Cincinnati College of Medicine
Licensed in
IL, KY, OH
In the registry since
2014
Specialties on file
4
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

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone: (502) 634-6767
Fax: (502) 634-6775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 E Chestnut St, Louisville, KY 40202-1831 — (502) 634-6767
  • 4960 Norton Healthcare Blvd, Louisville, KY 40241-2831 — (502) 634-6767

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 54968 (KY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.156045 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 35.128034 (OH)
General Practice Physician Taxonomy 208D00000X · Licence 128034 (OH)

Record details

NPI number1154747657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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