DR. CHARLES C MACDONALD II M.D.
NPI 1215901764
Pediatrics - Neonatal-Perinatal Medicine in Dowagiac, MI

Active since February 13, 2006
55510 INDIAN LAKE ROAD, DOWAGIAC, MI 49047(630) 405-8753 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles C Macdonald Ii M.d. NPPES

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

DR. CHARLES C MACDONALD II M.D. (NPI 1215901764) is an individual neonatal-perinatal medicine provider in Dowagiac, Michigan, licensed in Michigan (4301034118) and active in the NPI registry since February 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215901764
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. CHARLES C MACDONALD IICredential: M.D.
Location Address55510 INDIAN LAKE ROADDowagiac, MI 49047
Mailing Address1333 Ashbury CirLemont, IL 60439-8433 · (630) 405-8753
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedFebruary 10, 2025
NPI 1215901764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in MI · 4301034118 Licensed in WI · 22066-20 Licensed in IN · 01037362A
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
55510 INDIAN LAKE ROAD, Dowagiac, MI 49047

Secondary Practice Locations 2

Location 19775 Covington BlvdFishers, IN 46037-9166 · Phone (630) 405-8753
Location 21891 Woodtick TrailLac Du Flambeau, WI 54538 · Phone (630) 405-8753

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 Charles Macdonald's NPI number?

The NPI number for Charles Macdonald is 1215901764. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Charles Macdonald located?

Charles Macdonald practices at 55510 Indian Lake Road, Dowagiac, MI 49047. The listed phone number is (630) 405-8753.

What is Charles Macdonald's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Charles Macdonald was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.