Active NPI
Andrew O'Donnell, DO
- Family Medicine Physician
- Du Bois, PA
National Provider Identifier
1245810134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS023781
- Practice address
- 145 Hospital Ave Ste 315
Du Bois, PA 15801-1465 - Phone
- (814) 503-4305
- NPI assigned
- Apr 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS023781 | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave Ste 315
Du Bois, PA 15801-1465
Mailing address
145 Hospital Ave Ste 205
Du Bois, PA 15801-1464
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS023781 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Dubois Regional Medical Center | Family Medicine | Current | Accepting new patients |
| Dubois Regional Medical Center | Past | Accepting new patients |
Locations
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
145 Hospital Ave
Ste 205
Dubois, PA 15801
Phone (814) 371-0373
145 Hospital Ave
Ste 315
Dubois, PA 15801
Phone (814) 371-6172
Interoperability endpoints
- ajodonnell@1285.direct.myezyaccess.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1245410554
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
Hospital & facility affiliations 33
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Brookville, PA
- NPI 1760452924
-
- Home Health Agency
- St Marys, PA
- NPI 1598725210
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1245810134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE STE 205",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE STE 315",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011465",
"telephone_number": "814-503-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS023781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.