NPIMap

Individual provider Active NPI

Donald Sinclair McCorquodale III, MD/PHD

  • Neurology Physician
  • Rockledge, FL
National Provider Identifier
1285976332
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME135837 Issued in FL
Practice address
211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Phone
(321) 345-6331
Fax
(321) 345-3295
NPI assigned
Mar 26, 2013
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME135837 FL
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X ME135837 FL Primary

Addresses

Primary practice location

211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749

Mailing address

211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Phone (321) 345-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711002621 FL Practitioner - Neurology 5395068803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knight Neurology LLCGroup PAC ID 5698916344, 8 clinicians

Practice addresses (Care Compare)

211 Coral Sands Dr
Suite B
Rockledge, FL 32955-2749
Phone (321) 345-6331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.68 of 100Reported as group
Quality
62.02
Improvement activities
40
Cost
76.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135837FLMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knight Neurology LLC CurrentSince Jul 25, 2018 Accepting new patients

Locations

211 Coral Sands Dr
Ste B
Rockledge, FL 32955
Phone (321) 345-6331

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dmccorquodale71469@epicdirect.hf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1285976332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CORAL SANDS DR STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552749",
            "telephone_number": "321-345-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CORAL SANDS DR STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552749",
            "telephone_number": "321-345-6331",
            "fax_number": "321-345-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORQUODALE",
        "first_name": "DONALD",
        "middle_name": "SINCLAIR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD/PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME135837",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME135837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.