NPIMap

Individual provider Active NPI

Daniela M Donoso Pena, MD

  • Internal Medicine Physician
  • Red Oak, IA
National Provider Identifier
1265744916
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47372 Issued in IA
Practice address
1400 Senate Ave Ste 108
Red Oak, IA 51566-1271
Phone
(712) 623-7280
Fax
(712) 623-7279
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial Hospital 43 clinicians

Practice addresses (Care Compare)

1400 Senate Ave
102 Women'S Health Clinic
Red Oak, IA 51566-1271
Phone (712) 623-6335

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Hospital & facility affiliations

  • Angels Care Home Health of Iowa Home health agency, Council Bluffs, IA, CCN 167292
  • Wel-Home Health of Red Oak Home health agency, Red Oak, IA, CCN 167282
  • St Croix Hospice Hospice, Co Bluffs, IA, CCN 161602
  • Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
  • Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
  • Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366
  • Red Oak Rehab and Care Center Nursing home, Red Oak, IA, CCN 165185
  • Accura Healthcare of Stanton Nursing home, Stanton, IA, CCN 165332
  • Good Samaritan - Villisca Nursing home, Villisca, IA, CCN 165189
  • Good Samaritan - Red Oak Nursing home, Red Oak, IA, CCN 165191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Montgomery County Memorial HospitalRed Oak, IA, CCN 161363 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2022
Jul 1, 2022
Montgomery County Memorial HospitalRed Oak, IA, CCN 16Z363 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2022
Jul 1, 2022
Red Oak Rehab and Care CenterRed Oak, IA, CCN 165185 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jan 1, 2020
Red Oak Medical ClinicRed Oak, IA, CCN 168664 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Dec 8, 2022
Dec 8, 2022

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200826003144 IA Practitioner - Internal Medicine 0244458727 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49963AZMDInternal Medicine Physician
47372IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince Aug 3, 2020 Accepting new patients
Montgomery County Memorial Hospital Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

1400 Senate Ave
Ste 103
Red Oak, IA 51566
Phone (712) 623-7240

1400 Senate Ave
Ste 108
Red Oak, IA 51566
Phone (712) 623-7250

1400 Senate Ave
Ste 108103
Red Oak, IA 51566
Phone (712) 623-7280

205 N U Ave
Villisca, IA 50864
Phone (712) 826-4422

Interoperability endpoints

  • Direct secure messaging: mcddonoso@mcmh.cernerdirect.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49963 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 47372 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1400 Senate Ave Ste 108
Red Oak, IA 51566-1271

Mailing address

2301 Eastern Ave
Red Oak, IA 51566-1305
Phone (712) 623-7280

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address MCDDonoso@mcmh.cernerdirect.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2022.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1265744916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661305",
            "telephone_number": "712-623-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE STE 108",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-7280",
            "fax_number": "712-623-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOSO PENA",
        "first_name": "DANIELA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49963",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "47372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCDDonoso@mcmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MCDDonoso@mcmh.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Senate Ave Ste 108",
            "city": "Red Oak",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515661271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.