Active NPI
Christopher Victor Donatelli, M.D.
- Pulmonary Disease Physician
- Des Moines, IA
National Provider Identifier
1104117936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-45527
- Practice address
- 411 Laurel St Ste A120
Des Moines, IA 50314-3027 - Phone
- (515) 224-1777
- Fax
- (515) 225-6750
- NPI assigned
- Apr 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-45527 | IA | |
| Internal Medicine Physician | 207R00000X | 35.123749 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.123749 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD-45527 | IA | |
| Pulmonary Disease Physician | 207RP1001X | 35.123749 | OH | |
| Pulmonary Disease Physician | 207RP1001X | MD-45527 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.123749 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1104117936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-7900",
"fax_number": "515-643-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE A120",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143027",
"telephone_number": "515-224-1777",
"fax_number": "515-225-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATELLI",
"first_name": "CHRISTOPHER",
"middle_name": "VICTOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD-45527",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.123749",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35.123749",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "MD-45527",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35.123749",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "MD-45527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.