DAVID W MCDONALD M.D.
NPI 1619167269
Radiology - Pediatric Radiology in North Lima, OH
NPI Status: Active since July 30, 2007
Contact Information
851 THORNBERRY TRL
NORTH LIMA, OH
ZIP 44452
Phone: (330) 549-0265
- Individual
- Male
- Years of Experience 24
- Radiology
- Pediatric Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DAVID MCDONALD
This page provides the complete NPI Profile along with additional information for David Mcdonald, a provider established in North Lima, Ohio with a medical specialization in Radiology, focusing in pediatric radiology and more than 24 years of experience. He graduated from Northeastern Ohio University College Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1619167269 assigned on July 2007. The practitioner's primary taxonomy code is 2085P0229X with license number 35.095511 (OH). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1619167269
- Provider Name
- DAVID W MCDONALD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 851 THORNBERRY TRL NORTH LIMA, OH 44452
- Location Phone
- (330) 549-0265
- Mailing Address
- 2840 ELECTRIC RD SUITE 205A ROANOKE, VA 24018
- Mailing Phone
- (540) 904-1388
- Medical School Name
- NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-30-2007
- Last Update Date
- 09-02-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Pediatric Radiology
- Taxonomy Code
- 2085P0229X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35.095511
- License State
- OH
- Taxonomy Description
- A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 46382 (TN) |
| 2 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | N7142 (TX) |
| 3 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 43636 (KY) |
| 4 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 255838-1 (NY) |
| 5 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 036124861 (IL) |
| 6 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 54188-20 (WI) |
| 7 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | C1-0009306 (DE) |
| 8 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 04-34287 (KS) |
| 9 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 7721 (SD) |
| 10 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 48598 (CO) |
| 11 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 2010009169 (MO) |
| 12 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 25638 (NE) |
| 13 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | MD429634 (PA) |
| 14 | 2085P0229X | Allopathic & Osteopathic Physicians | Radiology | 25MA08382300 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 167425VA1 | MEDICARE UPIN (02) | NJ | |
| 0169013 | MEDICAID (05) | NJ | |
| 126567PZE | MEDICARE PIN (08) | NJ |
Medicare Participation & PECOS Enrollment Status
David Mcdonald is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
David Mcdonald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507939105
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121003000813
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619167269, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619167269, enumerated as an "individual" on July 30, 2007.
The provider is located at 851 THORNBERRY TRL NORTH LIMA, OH 44452 and the phone number is (330) 549-0265.
Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
