DONEY MEDICAL, INC.
NPI 1104900554
Clinic/Center - Medical Specialty in Miami, OK

Active since October 24, 2006CLIA 37D0688982 · Microscopy
310 2ND AVE SW, SUITE 201, MIAMI, OK 74354(918) 542-8477(918) 542-6422 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Doney Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONEY MEDICAL, INC. (NPI 1104900554) is a healthcare organization registered as a medical specialty in Miami, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Jack R. Doney, Physician, as its authorized official.

NPPES Registry Identity

NPI1104900554
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDONEY MEDICAL, INC.
Location Address310 2ND AVE SW, SUITE 201Miami, OK 74354-6702
Mailing Address310 2nd Ave Sw, Suite 201Miami, OK 74354-6702 · (918) 542-8477 · Fax (918) 542-6422
Fax(918) 542-6422
Organization SubpartNo
Authorized OfficialJack R. DoneyPhysician · (918) 542-8477
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1104900554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OK · 11653
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedFamily MedicineTaxonomy 207Q00000X · License 11653 (OK)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 11653 (OK)
310 2ND AVE SW, Miami, OK 74354

Other Identifiers 2

Medicaid100209450AOK
Medicaid100735640AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doney Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20050111000955Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Doney Medical, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1518927664
310 2ND AVE SW SUITE 201
Miami, OK 74354
(918) 542-8477
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0688982

Doney Medical Inc · Miami, OK
Active · expires Aug 31, 2028
CLIA Number37D0688982
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJack R. Doney
Laboratory Phone(918) 542-8477
Laboratory LocationDoney Medical Inc310 2nd SW Suite 201, Miami, OK 74354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doney Medical, Inc.'s NPI number?

The NPI number for Doney Medical, Inc. is 1104900554. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Doney Medical, Inc. located?

Doney Medical, Inc. is located at 310 2nd Ave SW Suite 201, Miami, OK 74354. The listed phone number is (918) 542-8477.

What is Doney Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Doney Medical, Inc. enrolled in Medicare?

Yes. Doney Medical, Inc. is registered in the Medicare PECOS enrollment system.

When is Doney Medical, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Doney Medical, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Doney Medical, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Doney Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0688982) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doney Medical, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Doney Medical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doney Medical, Inc. was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.