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DR. JILL DOUGAL MACKINNON M.D.
NPI 1134201627
Neuromusculoskeletal Medicine & OMM in Berkeley, CA

Active since October 20, 2006PECOS Enrolled
2001 DWIGHT WAY, 2ND FLOOR - ROOM # 2350, BERKELEY, CA 94704(510) 204-4738(510) 204-5892 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jill Dougal Mackinnon M.d. NPPES

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

DR. JILL DOUGAL MACKINNON M.D. (NPI 1134201627) is an individual neuromusculoskeletal medicine & omm provider in Berkeley, California, licensed in California (G67976) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134201627
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. JILL DOUGAL MACKINNONCredential: M.D.
Location Address2001 DWIGHT WAY, 2ND FLOOR - ROOM # 2350Berkeley, CA 94704-2608
Mailing Address2001 Dwight Way, 2nd Floor - Room # 2350Berkeley, CA 94704-2608 · (510) 204-4738 · Fax (510) 204-5892
Phone(510) 204-4738
Fax(510) 204-5892
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1134201627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CA · G67976
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
2001 DWIGHT WAY, Berkeley, CA 94704
Open in Google Maps ↗

Other Identifiers 2

Other00G679760CA · Medi-cal
Medicare UPINF35552CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jill Dougal Mackinnon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jill Mackinnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
7.1 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY OLANDER
Speech-Language Pathologist
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-1205
DR. DAIANA J HARPER M.D.
Psychiatry & Neurology (Psychiatry)
2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704
Alameda County (510) 204-4635
NORTHERN CALIFORNIA HEMATOLOGY AND ONCOLOGY CONSULTANTS, INC
Internal Medicine (Hematology & Oncology)
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-6402
MS. PAMELA NICOLE PETERS
Obstetrics & Gynecology
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-4444
DR. PATRICK SWIFT M.D.
Radiology (Radiation Oncology)
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-2462
CENTER FOR HEALTH & INDEPENDENCE REHAB INC
Physical Medicine & Rehabilitation
2001 DWIGHT WAY, ROOM 2350
BERKELEY, CA 94704
Alameda County (510) 964-0458
CYNTHIA PEERY PTA
Physical Therapy Assistant
2001 DWIGHT WAY
BERKELEY, CA 94704
Alameda County (510) 204-4444
MS. LAUREN L. GALATY CNM
Midwife
2001 DWIGHT WAY, BERKELEY PRIMARY CARE, ROOM 1363
BERKELEY, CA 94704
Alameda County (510) 204-4637

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 Jill Mackinnon's NPI number?

The NPI number for Jill Mackinnon is 1134201627. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jill Mackinnon located?

Jill Mackinnon practices at 2001 Dwight Way 2nd Floor - Room # 2350, Berkeley, CA 94704. The listed phone number is (510) 204-4738.

What is Jill Mackinnon's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jill Mackinnon enrolled in Medicare?

Yes. Jill Mackinnon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jill Mackinnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Mackinnon reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Jill Mackinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jill Mackinnon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.