Michael L. Douglass, AA
NPI 1154070738ActiveIndividual· Anesthesiologist Assistant· Summit, WI
Anesthesiologist Assistant (AA) in Summit, Wisconsin, trained at Indiana University School of Medicine (class of 2021). Medicare paid $7,824 for services to 110 patients in 2024.
Overview
| NPI | 1154070738 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AA |
| Sole proprietor | No |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | Apr 14, 2022 |
| Certified by provider | Apr 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 209-17 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 111 across 28 procedure codes |
| Paid by Medicare | $7,824 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Center - SummitSummit, WI
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