Individual provider Active NPI

Douglas J. Ward, PA-C

  • Surgical Physician Assistant
  • Bridgeport, CT
National Provider Identifier
1376518100
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1476 Issued in CT
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 384-3000
NPI assigned
Feb 23, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1476 CT Primary

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-3000

Other practice location 1

888 White Plains Rd Ste 105
Trumbull, CT 06611-4552
Phone (203) 268-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000044 CT Practitioner - Physician Assistant 1052370269 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

226 Mill Hill Ave
Suite 3
Bridgeport, CT 06610-2826
Phone (203) 384-3976

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000

330 Bridgeport Ave
Shelton, CT 06484-3861
Phone (203) 538-0020

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

888 White Plains Rd
Trumbull, CT 06611-4552

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1476CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 6, 2014 Accepting new patients
Yale University CurrentSince Jan 7, 2020 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Mar 1, 2018 Accepting new patients
Yale University CurrentSince Jan 7, 2020 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2014 Accepting new patients
Northeast Medical Group Inc CurrentSince Apr 6, 2014 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2014 Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical CurrentSince Mar 1, 2018 Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Surgical Past Accepting new patients

Locations

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

84 N Main St
Ofc
Branford, CT 06405

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

305 Boston Ave
Bridgeport, CT 06610
Phone (203) 384-3377

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Fl 1
Hamden, CT 06518
Phone (203) 407-3550

2416 Whitney Ave
Ste 1
Hamden, CT 06518

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

100 Beard Sawmill Rd
Shelton, CT 06484
Phone (203) 445-5500

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

888 White Plains Rd
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 105
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 106
Trumbull, CT 06611
Phone (203) 268-2882

888 White Plains Rd
Ste 209
Trumbull, CT 06611
Phone (203) 459-1133

1800 Post Rd E
Westport, CT 06880
Phone (203) 254-1354

Interoperability endpoints

  • Direct secure messaging: dward10641@direct.ynhh.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1376518100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102870",
            "telephone_number": "203-384-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 White Plains Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114552",
            "country_code": "US",
            "telephone_number": "203-268-2822",
            "fax_number": "203-672-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.