CHARLES MCDONNELL MD NPI 1083610687

NPI Information

  • NPI: 1083610687
  • Provider Name: CHARLES MCDONNELL, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 K ST
    SUITE 502
    SACRAMENTO, CA
    ZIP 95816
  • Phone: (877) 515-0053

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NPI Details

Charles Mcdonnell, MD is a body imaging radiology in Sacramento, CA with 39 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Charles Mcdonnell, MD NPI is 1083610687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

2801 K ST
SUITE 502
SACRAMENTO, CA
ZIP 95816-120
Phone: (877) 515-0053
Fax: (916) 731-7877

The NPI 1083610687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of both breasts (HCPCS:77049)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Placement of locating device in breast using ultrasound guidance, first growth (HCPCS:19285)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • Biopsy of breast and placement of locating device using ultrasound, each additional growth (HCPCS:19084)

The enumeration date for this NPI number is 6/28/2005 and was last updated on 6/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyA43955CALIFORNIANo
22085N0904XRadiologyNuclear RadiologyA43955CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyA43955CALIFORNIANo
42085R0203XRadiologyTherapeutic RadiologyA43955CALIFORNIANo
52085R0204XRadiologyVascular & Interventional RadiologyA43955CALIFORNIANo
62085R0205XRadiologyRadiological PhysicsA43955CALIFORNIANo
72085U0001XRadiologyDiagnostic UltrasoundA43955CALIFORNIANo
82085B0100XRadiologyBody ImagingA43955CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F52213MEDICARE UPIN
200A439550MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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