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

Xavier Douglas, MD

Individual provider Family Medicine Physician · NPI 1427519982

Xavier Douglas, MD is a Family Practice in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Maricopa County Special Health Care District, a 127-clinician group and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
7
Licensed in
AZ, OH
In the registry since
2019
Specialties on file
3
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-3033
Fax: (602) 933-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 66991 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57.247348 (OH)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 66991 (AZ)

Record details

NPI number1427519982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Maricopa County Special Health Care District — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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