Active NPI
Louis R. Macdonald, DPM, PC
- Podiatrist
- Moriches, NY
National Provider Identifier
1043385149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005424
- Legal business name
- LOUIS R. MACDONALD, DPM, PC
- Practice address
- 225 Montauk Hwy Ste 113
Moriches, NY 11955-1411 - Phone
- (631) 878-3330
- Fax
- (631) 878-3331
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis R Macdonald, DPM
- Title
- President
- Phone
- (631) 878-3330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005424 | NY | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N005424 | NY | |
| Radiology Podiatrist | 213ER0200X | N005424 | NY | |
| Sports Medicine Podiatrist | 213ES0000X | N005424 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N005424 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N005424 | NY |
Addresses
Primary practice location
225 Montauk Hwy Ste 113
Moriches, NY 11955-1411
Mailing address
225 Montauk Hwy Ste 113
Moriches, NY 11955-1411
Phone (631) 878-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02043209 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101029001009 | NY | Part B Supplier - Clinic/Group Practice | 8820201031 |
Receives reassigned benefits from 6 practitioners Practice locations: Moriches, NY; Port Jefferson Station, NY; Shirley, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Moriches, NY
- NPI 1235205725
8820201031
National Provider Directory
National Provider Directory- Tax ID family
- Louis R Macdonald DPM P
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Moriches, NY
- NPI 1235205725
Locations
225 Montauk Hwy
Ste 113
Moriches, NY 11955
Phone (631) 878-3330
450 William Floyd Pkwy
Ste A
Shirley, NY 11967
Phone (631) 281-6882
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1073923454
Foot & Ankle Surgery, NY
-
- Foot & Ankle Surgery Podiatrist
- Port Jefferson Station, NY
- NPI 1396206538
Foot & Ankle Surgery, NY
-
- Foot & Ankle Surgery Podiatrist
- Port Jefferson Station, NY
- NPI 1568886539
Foot & Ankle Surgery, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1043385149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MONTAUK HWY STE 113",
"city": "MORICHES",
"state": "NY",
"postal_code": "119551411",
"telephone_number": "631-878-3330",
"fax_number": "631-878-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MONTAUK HWY STE 113",
"city": "MORICHES",
"state": "NY",
"postal_code": "119551411",
"telephone_number": "631-878-3330",
"fax_number": "631-878-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIS R. MACDONALD, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "MACDONALD",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-878-3330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "N005424",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N005424",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Radiology",
"state": "NY",
"license": "N005424",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": "N005424",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N005424",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N005424",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02043209",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.