NPIMap

Individual provider Active NPI

Diane K Donnelly, MD

  • Family Medicine Physician
  • Columbia, PA
National Provider Identifier
1013972744
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453617 Issued in PA
Practice address
3985 Columbia Ave Ste 8
Columbia, PA 17512-9003
Phone
(717) 285-3144
Fax
(717) 285-3529
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453617 PA Primary

Addresses

Primary practice location

3985 Columbia Ave Ste 8
Columbia, PA 17512-9003

Mailing address

3985 Columbia Ave Ste 8
Columbia, PA 17512-9003
Phone (717) 285-3144

Other practice location 1

333 N Arch St
Lancaster, PA 17603-2928
Phone (717) 299-6371

Other names 1

  • Diane Carol Klauser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000522 PA Practitioner - Family PracticePractitioner - Sports Medicine 4789674474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

2221 Noll Dr
Suite 2000
Lancaster, PA 17603-7614
Phone (717) 715-1001

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD453617PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Union Community Care CurrentSince May 4, 2015 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2019 Accepting new patients
Union Community Care CurrentSince May 4, 2015 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC Family Medicine PastSince May 17, 2020 Accepting new patients
Community Services Group, Inc. Past Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 Accepting new patients
Penn State Health Medical Group, LLC PastSince May 17, 2020 Accepting new patients

Locations

3985 Columbia Ave
Ste 8
Columbia, PA 17512
Phone (717) 285-3144

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14261/brand/6/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1013972744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 COLUMBIA AVE STE 8",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129003",
            "telephone_number": "717-285-3144",
            "fax_number": "717-285-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 COLUMBIA AVE STE 8",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129003",
            "telephone_number": "717-285-3144",
            "fax_number": "717-285-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032928",
            "country_code": "US",
            "telephone_number": "717-299-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "KLAUSER",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.