Individual provider

Douglas Soderdahl, M.D.

Urology Physician Military Health Care Provider Medicare enrolled

Douglas Soderdahl, M.D. is an Urology Physician in Fort Sam Houston, TX, registered under NPI 1245217769. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3851 ROGER BROOKE DRIVE MCHE-QD, Fort Sam Houston, TX 78234. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3851 ROGER BROOKE DRIVE MCHE-QD, Fort Sam Houston, TX 78234 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
34673-20 WI Urology Physician primary
0101233888 VA Military Health Care Provider

Licences are recorded in 2 states: WI, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Urology
PAC ID
8022289594
Enrollment ID
I20110914000551

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Urology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Virginia and Wisconsin. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

VA Virginia
Licence
0101233888
Specialty
Military Health Care Provider
Verify with the VA board →
WI Wisconsin
Licence
34673-20
Specialty
Urology Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208800000X Urology Physician 34673-20 WI primary
171000000X Military Health Care Provider 0101233888 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1245217769 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 27, 2005
Last updatedMay 13, 2015
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 3851 ROGER BROOKE DRIVE
MCHE-QD
Fort Sam Houston, TX 78234
(210) 916-2460
This record was last updated on May 13, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1245217769 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 4 5 2 1 7 7 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 8 5 4 1 5 7 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1245217769?
NPI 1245217769 is the National Provider Identifier assigned to Douglas Soderdahl, M.D. in Fort Sam Houston, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact Douglas Soderdahl, M.D.?
The phone number on file with NPPES is (210) 916-2460, last updated May 13, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Douglas Soderdahl, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1245217769 a valid number?
Yes. 1245217769 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.