Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas John Raedy, DO

Individual provider Otolaryngology Physician · NPI 1215111885

Dr. Douglas John Raedy, DO is an Otolaryngology in Portage, Michigan. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3850 Glenkerry Ct
Portage, MI 49024-0700
Phone: (269) 327-7200
Fax: (269) 327-9272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence DR009649 (MI)

Record details

NPI number1215111885
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 19, 2007
Last updated in NPPESMay 10, 2011
Mailing address3850 Glenkerry Ct, Portage, MI 49024-0700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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