Individual provider Active NPI

Donna R Farrell, DO

  • Family Medicine Physician
  • Meadowbrook, PA
National Provider Identifier
1104897172
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006848L Issued in PA
Practice address
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone
(215) 947-7924
Fax
(214) 947-0187
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 OS006848L PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone (215) 947-7924

Other identifiers 2

IdentifierTypeStateIssuer
1257214MedicaidPA
080095806OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110404000495 PA Practitioner - Family Practice 9739363516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006848LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Medical Associates, LTD. CurrentSince Sep 13, 1991 Accepting new patients

Locations

1650 Huntingdon Pike
Ste 156
Meadowbrook, PA 19046
Phone (215) 745-3580

8014 Burholme Ave
Philadelphia, PA 19111
Phone (215) 745-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1104897172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "214-947-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "214-947-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DONNA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006848L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257214",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080095806",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.