Individual provider Active NPI

Douglas Alan Waldman, M.D.

  • Orthopaedic Surgery Physician
  • Bastrop, TX
National Provider Identifier
1902801871
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036154971 Issued in IL
Practice address
117 Rosemary CT
Bastrop, TX 78602-2239
Phone
(903) 926-4861
Fax
(888) 926-1513
NPI assigned
Jun 16, 2005
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-6674 TX
Orthopaedic Surgery Physician 207X00000X 4301506512 MI
Orthopaedic Surgery Physician 207X00000X 036154971 IL Primary

Addresses

Primary practice location

117 Rosemary CT
Bastrop, TX 78602-2239

Mailing address

117 Rosemary CT
Bastrop, TX 78602-2239
Phone (903) 926-4861

Other practice location 1

509 Osborn Blvd
Sault Sainte Marie, MI 49783-2069
Phone (906) 632-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, WA, AR, IN, AZ, MI, PA, WY9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20210624000711 IL Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20230823000778 MN Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20241126002683 WA Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20250710002571 AR Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20250712000184 IN Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20251231003237 AZ Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20260206000959 MI Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 2 organizations
I20260429000271 PA Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 1 organization
I20260501002221 WY Practitioner - Orthopedic Surgery 3173546603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HRMC, LLCGroup PAC ID 3072641265, 33 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

1851 Mesquite Ave
Suite 112
Lake Havasu City, AZ 86403-5680
Phone (928) 453-0108

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

401 Long Rapids PLZ
Alpena, MI 49707-1394
Phone (989) 356-9333

424 Yellowstone Ave
Cody, WY 82414-9309
Phone (307) 527-7501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301506512MIMDOrthopaedic Surgery Physician
E-6674TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Orthopaedic Surgery Current Accepting new patients
Multicare Health System CurrentSince Nov 18, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 15, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 29, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mymichigan Medical Center Sault Family Medicine CurrentSince Jan 29, 2026 Accepting new patients
Harrison County Hospital CurrentSince Jul 7, 2025 Accepting new patients
Harrison County Hospital CurrentSince Jul 7, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Multicare Health System CurrentSince Nov 18, 2024 Accepting new patients
HRMC, LLC CurrentSince Oct 19, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 10, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc CurrentSince Jul 1, 2025 Accepting new patients
HRMC, LLC Family Medicine CurrentSince Oct 19, 2025 Accepting new patients
Allina Health System CurrentSince Aug 15, 2023 Accepting new patients
Mid State Orthopaedic & Sports Medicine Center, LLC Orthopaedic Surgery Past Accepting new patients
Multicare Health System Past Accepting new patients
HRMC, LLC Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Mid State Orthopaedic & Sports Medicine Center LLC Orthopaedic Surgery Past Accepting new patients
Harrison County Hospital Orthopaedic Surgery Past Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1851 Mesquite Ave
Ste 112
Lk Havasu Cty, AZ 86403
Phone (928) 505-4661

1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540

215 E 1st St
Ste 326
Dixon, IL 61021
Phone (815) 285-5800

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 105
Corydon, IN 47112
Phone (812) 734-3800

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

509 Osborn Blvd
Sault Sainte Marie, MI 49783
Phone (906) 632-4740

509 Osborn Blvd
Ste 400
Sault Sainte Marie, MI 49783
Phone (906) 632-4740

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: douglas.waldman.1@19231.direct.athenahealth.com
  • Direct secure messaging: dwaldman812001@direct.multicare.org

Organizations & group practices 29

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 29

Hospital & facility affiliations 12

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1902801871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ROSEMARY CT",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022239",
            "telephone_number": "903-926-4861",
            "fax_number": "888-926-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROSEMARY CT",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022239",
            "telephone_number": "903-926-4861",
            "fax_number": "888-926-1513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Osborn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497832069",
            "country_code": "US",
            "telephone_number": "906-632-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E-6674",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301506512",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036154971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.