Individual provider Active NPI

Mark Mitchell McDonald, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1366837429
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME145173 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(434) 972-4266
NPI assigned
Apr 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME145173 FL
Neurology Physician 2084N0400X ME145173 FL Primary
Neurology Physician 2084N0400X 61643 TX
Neurology Physician 2084N0400X 0101267054 VA
Neurology Physician 2084N0400X 20583 NH
Neurology Physician 2084N0400X MD471944 PA
Neurology Physician 2084N0400X MD200077 OR
Neurology Physician 2084N0400X 2020033611 MO

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

1215 Lee St
Box 800394
Charlottesville, VA 22908-0816
Phone (434) 924-5306

Other practice location 2

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other practice location 3

1221 Lee Street
Charlottesville, VA 22908-0816
Phone (434) 982-3936

Other practice location 4

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 5

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmcdonald52373@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL, GA, NY, NH, MT, AZ, IA, OR, WA, OH, MI, ND, KY, PA, MO16 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 16

Enrollment IDStateProvider typePAC IDDetails
I20190626003113 VA Practitioner - Neurology 6709156334 Reassigns benefits to 10 organizations
I20200618000729 FL Practitioner - Neurology 6709156334 Reassigns benefits to 3 organizations
I20200919000127 GA Practitioner - Neurology 6709156334 Reassigns benefits to 3 organizations
I20200921003035 NY Practitioner - Neurology 6709156334 Reassigns benefits to 5 organizations
I20201113001268 NH Practitioner - Neurology 6709156334 Reassigns benefits to 4 organizations
I20201216002185 MT Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20201218001017 AZ Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20210108001767 IA Practitioner - Neurology 6709156334
I20210112000324 OR Practitioner - NeurologyPractitioner - Psychiatry 6709156334 Reassigns benefits to 2 organizations
I20210226002016 WA Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20210322000943 OH Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20210507000612 MI Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20210621002803 ND Practitioner - Neurology 6709156334 Reassigns benefits to 2 organizations
I20220916002072 KY Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20230123000010 PA Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization
I20231016000753 MO Practitioner - Neurology 6709156334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

Charlottesville, VA 22901
Phone (239) 208-2212

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1904 Fox Run LN
Charlottesville, VA 22901-8833
Phone (239) 208-2212

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

240 W Main St
Suite 100Cw113
Charlottesville, VA 22902-5005
Phone (434) 202-3450

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20583NHMDNeurology Physician
0101267054VAMDNeurology Physician

Practice roles (60 of 65)

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Apr 1, 2023 Accepting new patients
Mercy Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Lee Memorial Health System Family Medicine CurrentSince Jun 18, 2020 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Dec 11, 2020 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Jul 15, 2020 Accepting new patients
Altru Health System CurrentSince May 27, 2021 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Jun 24, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 11, 2020 Accepting new patients
Lee Memorial Health System CurrentSince Jun 18, 2020 Accepting new patients
Silverton Health Current Accepting new patients
Altru Health System CurrentSince May 27, 2021 Accepting new patients
Lee Health System Inc CurrentSince Jan 23, 2025 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Benefis Hospitals Inc CurrentSince Dec 15, 2020 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St Charles Hospital Corp CurrentSince Aug 1, 2023 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Jan 23, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Apr 7, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Aug 10, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Oct 27, 2022 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Oct 17, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Jul 15, 2020 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Dec 11, 2020 Accepting new patients
Silverton Health Family Medicine CurrentSince Jun 7, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Sep 12, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Mar 22, 2021 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Feb 23, 2021 Accepting new patients
St Alexius Medical Center CurrentSince Sep 13, 2023 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Jul 15, 2020 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Meritas Health Corporation Neurology CurrentSince Sep 12, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Sep 13, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 11, 2020 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Oct 27, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Jul 1, 2020 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Jun 30, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Upson Medical Associates LLC Family Medicine CurrentSince Jul 29, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Apr 1, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Mar 22, 2021 Accepting new patients
Syntrillo Health PC Neurology CurrentSince Aug 25, 2025 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 1, 2019 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Mercy Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Virtual Neurology New Jersey LLC Neurology CurrentSince Feb 27, 2024 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Feb 1, 2021 Accepting new patients
Virtual Neurology New York PC Neurology CurrentSince Aug 26, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Feb 23, 2021 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Aug 17, 2024 Accepting new patients
Altru Health System Family Medicine Current Accepting new patients
Summit Healthcare Medical Associates CurrentSince Feb 1, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Aug 10, 2022 Accepting new patients
Silverton Health CurrentSince Jun 7, 2023 Accepting new patients

Locations (25 of 65)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

8735 Dunwoody Pl
Ste R
Sandy Springs, GA 30350
Phone (478) 298-6924

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

Networks

  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mmcdonald752373@direct.ketteringhealth.org
  • Direct secure messaging: mmcdonald4030708@direct.trinity-health.org
  • Direct secure messaging: mmcdonald560143@direct.emplifyhealth.org
  • Direct secure messaging: mmcdonald71857@epicdirect.hf.org
  • Direct secure messaging: mmcdonald647345@direct.unc.nchie.net
  • Direct secure messaging: mmcdonald230523@santaclaravalley.direct-ci.net

Organizations & group practices 69

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.

View all 69

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": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1366837429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "434-972-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "434-972-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 800394",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-5306",
            "fax_number": "434-982-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Lee Street",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-982-3936",
            "fax_number": "434-924-9068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARK",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-05",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME145173",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME145173",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "61643",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101267054",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "20583",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD471944",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD200077",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2020033611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcdonald52373@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.