Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Michael Lee Douglas, M.D.

Family Medicine Physician in Baldwin, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902907454

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Registry record

Entity type Individual (Type 1)

Name Michael Lee Douglas

Credential M.D.

Sex Male

Practice address 1110 Bergslien Street, Baldwin, WI, 54002

Phone (715) 684-1111

Enumeration date Sep 26, 2006

Last updated in NPPES Jun 10, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 17115 (SD) Secondary

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 39759 (MN) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 56257-20 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
227GD3O	Other	MN	BLUE CROSS/BLUE SHIELD
100062832	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Michael Douglas's NPI record?

Cross-check NPI 1902907454 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1902907454 active?

Yes, as of the latest NPPES snapshot, NPI 1902907454 is active (record last updated 2025-06-10).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-10.