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CAITLIN MARY MCDONOUGH
NPI 1265951719
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 15, 2017PECOS Enrolled
1918 UNIVERSITY AVENUE, SUITE 2B, BERKELEY, CA 94704(510) 548-9716 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Caitlin Mary Mcdonough NPPES

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

CAITLIN MARY MCDONOUGH (NPI 1265951719) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265951719
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAITLIN MARY MCDONOUGH
Location Address1918 UNIVERSITY AVENUE, SUITE 2BBerkeley, CA 94704
Mailing Address1918 University Ave Ste 2bBerkeley, CA 94704-3264
Phone(510) 548-9716
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
✔ NPI 1265951719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1918 UNIVERSITY AVENUE, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlin Mary Mcdonough 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 Caitlin Mcdonough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
6.7 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.

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 Caitlin Mcdonough's NPI number?

The NPI number for Caitlin Mcdonough is 1265951719. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Caitlin Mcdonough located?

Caitlin Mcdonough practices at 1918 University Avenue Suite 2B, Berkeley, CA 94704. The listed phone number is (510) 548-9716.

What is Caitlin Mcdonough's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caitlin Mcdonough enrolled in Medicare?

Yes. Caitlin Mcdonough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitlin Mcdonough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Mcdonough 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 Caitlin Mcdonough'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 Caitlin Mcdonough was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.