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Deactivated NPI 1245231190 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas P Sorensen , MD

Urology • Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Sorensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Sorensen, MD was a registered Urology practicing in Melbourne, FL. Throughout an active medical career spanning 1 years, Dr. Sorensen provided care at the practice location at 200 MICHIGAN AVE until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

200 Michigan Ave

Melbourne, FL 329013100

Telephone 3217244400
Fax 3217241139
Associated Practice Facility / Clinic
🏢 Sara S. Turse M.d.p.a. Facility NPI 1346518826

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.2 Yrs
State Avg: 29.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Melbourne, FL (1082 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME0043859

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. John Turse , MD

Internal Medicine - Gastroenterology

NPI 1174505531

Doctor of Medicine (M.D.)

Wendy Dinapoli , APRN

Nurse Practitioner

NPI 1457059024

Advanced Practice Registered Nurse

Dr. Priya Sasankan , MD

Internal Medicine

NPI 1932728383

Doctor of Medicine (M.D.)

Dr. Adwait Jathal , MD

Internal Medicine - Gastroenterology

NPI 1972574333

Doctor of Medicine (M.D.)

Dr. Sara Turse , MD

Internal Medicine

NPI 1972822559

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 09, 2007

Registered at 200 MICHIGAN AVE, MELBOURNE, FL 329013100 (Tel: 3217244400)

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Updated Business Mailing Address July 09, 2007

Registered at 200 MICHIGAN AVE, MELBOURNE, FL 329013100 (Tel: 3217244400)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DOUGLAS SORENSEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Urology (License #ME0043859 in FL)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration August 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245231190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2005
Last Update: July 13, 2026
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

200 Michigan Ave

Melbourne, FL 329013100

Phone: 3217244400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.