Active NPI
Matthew R. Donaldson, M.D.
- Dermatology Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 49785
- Practice address
- 2655 Little Bookcliff Dr
Grand Junction, CO 81501-8801 - Phone
- (970) 242-7273
- Fax
- (970) 241-2878
- NPI assigned
- Aug 16, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 49785 | CO | Primary |
Addresses
Primary practice location
2655 Little Bookcliff Dr
Grand Junction, CO 81501-8801
Mailing address
2655 Little Bookcliff Dr
Grand Junction, CO 81501-8801
Phone (970) 242-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80803245 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- University of Utah School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2655 Little Bookcliff Dr
Grand Junction, CO 81501-8801
Phone (970) 242-7273
Hospital & facility affiliations
- Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 107 |
| Removal of skin lesions | 84 |
| Removal of skin cancer | 576 |
| Skin biopsy | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49785 | CO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Dermatology, PC | Dermatology | Current | Accepting new patients |
| Skin Cancer Center Inc | Past | Accepting new patients |
Locations
790 Wellington Ave
Ste 104
Grand Junction, CO 81501
Phone (970) 242-7273
2655 Little Bookcliff Dr
Grand Junction, CO 81501
Phone (970) 242-7273
Organizations & group practices 2
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.
-
- Dermatology Physician
- Grand Junction, CO
- NPI 1497871073
-
- Ambulatory Surgical Clinic/Center
- Cincinnati, OH
- NPI 1871526004
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1265624860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 LITTLE BOOKCLIFF DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018801",
"telephone_number": "970-242-7273",
"fax_number": "970-241-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 LITTLE BOOKCLIFF DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018801",
"telephone_number": "970-242-7273",
"fax_number": "970-241-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "MATTHEW",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-16",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "49785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80803245",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.