MICHAEL L DOUGLASS AA
NPI 1154070738
Anesthesiologist Assistant in Summit, WI

Q: What is Michael Douglass's NPI number?

The NPI number for Michael Douglass is 1154070738. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Q: What is Michael Douglass's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Douglass was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2022Accepts Medicare Assignment

36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael L Douglass Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL L DOUGLASS AA (NPI 1154070738) is an individual anesthesiologist assistant in Summit, Wisconsin, licensed in Wisconsin (209-17) and active in the NPI registry since March 2022. He is affiliated with Aurora Medical Center - Summit and is a graduate of Indiana University School Of Medicine (2021).

NPPES Registry Identity

NPI1154070738

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMICHAEL L DOUGLASSCredential: AA

Location Address36500 AURORA DRSummit, WI 53066-4899

Mailing Address36500 Aurora DrSummit, WI 53066-4899 · (262) 434-1000

Phone(262) 434-1000

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2021

Enumeration DateMarch 22, 2022

Last NPPES UpdateApril 14, 2022

NPPES CertifiedApril 14, 2022

✔ NPI 1154070738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in WI · 209-17

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

36500 AURORA DR, Summit, WI 53066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael L Douglass Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022404961

PECOS Enrollment IDI20220401001575

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520206

Location36500 Aurora DriveSummit, WI 53066 · Waukesha County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIJAN NEZAMI

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

KEVIN L EGGLESTON M.D.

Hospitalist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-4711

KODY LEWIS PA C

Physician Assistant

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

REBECCA M STRIET M.D.

Preventive Medicine (Undersea and Hyperbaric Medicine)

36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066

Waukesha County (262) 434-5000

REBECCA SUSA DPT, ATC-L

Physical Therapist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-2600

VIJAY JOHNSON M.D

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

MRS. KELLY S CAMPBELL ANP-BC

Nurse Practitioner

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

DR. BRETT MCLACHLAN M.D.

Emergency Medicine

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Douglass's NPI number?

The NPI number for Michael Douglass is 1154070738. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Michael Douglass located?

Michael Douglass practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Michael Douglass's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Michael Douglass enrolled in Medicare?

Yes. Michael Douglass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Douglass accept?

Health plans from CareSource (Common Ground Healthcare) list Michael Douglass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Douglass affiliated with any hospitals?

According to CMS data, Michael Douglass is affiliated with Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Michael Douglass was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.