Robert Donnelly, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0076495 Issued in FL

Practice address

1660 Gulf to Bay Blvd
Clearwater, FL 33755

Phone

(727) 446-5633

Fax

(727) 447-6312

NPI assigned

Aug 25, 2005

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Orthopedic Surgery

Education

Un of California, Irvine, College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Clearwater, FL, CCN 107618
• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DADHDD/Endpoint/DADHDD
• Direct secure messaging: robert.donnelly.p4@direct.athleticoltd.nextgenshare.com

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.

• Full Circle Orthopedics PLLC

  • Specialist
  • Clearwater, FL
  • NPI 1710365572
  Medicare reassignment NPD Authorized official

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

• Galencare, Inc.

  dba HCA Florida Northside Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Senior Living Specialties, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Clearwater, FL
  • NPI 1508818022
  Care Compare affiliation

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1053304022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337556423",
            "telephone_number": "727-446-5633",
            "fax_number": "727-447-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33755",
            "telephone_number": "727-446-5633",
            "fax_number": "727-447-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0076495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254954900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Louise Donat, OTD
• Leslie Leigh Dongell, MD
• Keith Donlon
• Danielle Donnelly
• Megan Marie Donnelly, APRN
• Mary Donohue, PHYSCIAN ASSISTANT
• Jennifer Elise Donoso
• Matthew Brian Donovan, MD
• Alfredo A Dopico, MD
• Gilles Doppagne

• Orthopaedic Surgery Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.