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CHARLES MCDONNELL MD NPI 1083610687


NPI Information

NPI: 1083610687
Provider Name: CHARLES MCDONNELL, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

PECOS Registration: Yes

Address:
2801 K ST
SUITE 502
SACRAMENTO, CA
ZIP 95816
Phone: (877) 515-0053
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Charles Mcdonnell, MD is a body imaging radiology in Sacramento, CA with 38 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.

  • Mammography of both breasts (HCPCS:77067)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.