Mary A McDonald, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD038925 Issued in DC

Practice address

3720 Upton St NW
Washington, DC 20016-2224

Phone

(202) 966-3720

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Preventive Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Med, LLCGroup PAC ID 3476982901, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospice Hospice, Frederick, MD, CCN 211516

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lakeside Med, LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1073142147
  Medicare reassignment Care Compare group NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225
  Medicare reassignment NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Mount Airy, MD
  • NPI 1114771862
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Frederick Health Hospital Inc

  • Community Based Hospice Care Agency
  • Frederick, MD
  • NPI 1205832268
  Care Compare affiliation

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1356447692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 UPTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162224",
            "telephone_number": "202-966-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 UPTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162224",
            "telephone_number": "202-966-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD038925",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D74974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "601010",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS  CITY",
            "identifier": "34069013",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00152871",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209351600",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200262200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Marie McDonald, MA
• Kareem McDonald
• Krystine Kelly McDonald, LICSW
• Lalita McDonald
• Lamenthia D McDonald, HHA
• Mary Corinne McDonald
• Matthew McDonald
• Maurice McDonald
• Nakia Denise McDonald, PCA
• Shakirah McDonald

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.