Individual provider Active NPI

Robert C Donlick, D.O

  • Family Medicine Physician
  • Clayton, DE
National Provider Identifier
1023180932
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C20000456 Issued in DE
Practice address
210 Clayton Avenue
Clayton, DE 19938-1145
Phone
(302) 653-8916
Fax
(302) 653-7320
NPI assigned
Nov 15, 2006
Last updated
Apr 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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 C20000456 DE Primary

Addresses

Primary practice location

210 Clayton Avenue
Clayton, DE 19938-1145

Mailing address

PO Box 1145
Clayton, DE 19938-1145
Phone (302) 653-8916

Other identifiers 1

IdentifierTypeStateIssuer
013497088OtherDEMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000235 DE Practitioner - Family Practice 2264516673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Chesapeake Blvd
Elkton, MD 21921-6395

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.25 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
84.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20000456DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Donlick, DO, PA Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

210 Chesapeake Blvd
Elkton, MD 21921

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1023180932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199381145",
            "telephone_number": "302-653-8916",
            "fax_number": "302-653-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLAYTON AVENUE",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199381145",
            "telephone_number": "302-653-8916",
            "fax_number": "302-653-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLICK",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20000456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "013497088",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, DE

Sources for this page

Verify at the official NPI Registry.