Douglas Reavie, M.D.
NPI 1720114291 · Plastic Surgery Physician · San Diego, CA
Enrolled with Medicare as Order and Referring Only - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Reavie, M.D. is a Plastic Surgery Physician provider in San Diego, CA (NPI 1720114291).
Provider details
- NPI number
- 1720114291
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G47917 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2025-09-11
Frequently asked questions
- What is Douglas Reavie's NPI number?
- Douglas Reavie's National Provider Identifier (NPI) is 1720114291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Reavie's specialty?
- Douglas Reavie is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Reavie located?
- Douglas Reavie's practice location on file with NPPES is 15717 Bernardo Heights Pkwy, San Diego, CA 92128-3155.
- What is Douglas Reavie's phone number?
- The practice phone number listed in the NPPES registry for Douglas Reavie is (858) 451-1908.
- Does Douglas Reavie accept Medicare?
- Douglas Reavie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Reavie's NPI active?
- Yes — Douglas Reavie's NPI (1720114291) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.