Gregory L. McDonough

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT215085 Issued in PA

Practice address

833 Chestnut St Ste 220
Philadelphia, PA 19107-4405

Phone

(215) 955-8465

Fax

(215) 955-2516

NPI assigned

Apr 15, 2018

Last updated

May 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ, NY3 enrollments

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 3

Specialty

Internal Medicine

Education

Geisel School of Medicine at Dartmouth, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Critical Care Physicians of New Jersey PCGroup PAC ID 5698931699, 14 clinicians

Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians

Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
• Montefiore St Luke's Cornwall Hospital, Newburgh, NY, CCN 330264
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gmcdonough3408975@direct.trinity-health.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Critical Care Physicians of Pennsylvania PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Darby, PA
  • NPI 1952670085
  Medicare reassignment Care Compare group NPD
• Critical Care Physician of New York PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburgh, NY
  • NPI 1316293954
  Medicare reassignment Care Compare group NPD
• Critical Care Physicians of New Jersey PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Turnersville, NJ
  • NPI 1154682680
  Medicare reassignment Care Compare group NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  Medicare reassignment NPD
• Hospitalist Physicians of New Jersey PA

  • Hospitalist Physician
  • Edison, NJ
  • NPI 1588021851

  Internal Medicine

  Medicare reassignment NPD
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  NPD
• Thomas Jefferson University Hospitals Inc

  • Rehabilitation Hospital Unit
  • Philadelphia, PA
  • NPI 1033129606
  NPD (past)
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  NPD (past)
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  NPD (past)

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

• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian Hospice

  • Community Based Hospice Care Agency
  • Neptune, NJ
  • NPI 1629164074
  Care Compare affiliation Name & address match
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• HMH Hospitals Corporation

  dba JFK University Medical Center

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center-Old Bridge

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation
• St. Luke's Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1275020349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074405",
            "telephone_number": "215-955-8465",
            "fax_number": "215-955-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074405",
            "telephone_number": "215-955-8465",
            "fax_number": "215-955-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "GREGORY",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT215085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Vincent McDonnell, MD
• Stephen Thomas McDonnell Jr., MS, LAT, ATC
• Andrea McDonough, RPH
• Andrea McDonough, PA-C
• Donna Lynne McDonough, CRNA
• Sara Lynn McDonough, CPNP-AC
• Vincent James McDonough, M.D.
• Maurica E McDougale, LCSW
• Amy McDougall
• Carey McDougall, M.S.

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.

Verify at the official NPI Registry.