Individual provider Active NPI

Clement Joseph McDonald III, M.D.

  • Otolaryngology Physician
  • Lafayette, IN
National Provider Identifier
1376604488
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01056684A Issued in IN
Practice address
2320 Concord Rd Ste a
Lafayette, IN 47909-2710
Phone
(765) 477-7436
Fax
(765) 477-1245
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01056684A IN Primary

Addresses

Primary practice location

2320 Concord Rd Ste a
Lafayette, IN 47909-2710

Mailing address

PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800

Other practice location 1

1400 N Ritter Ave Ste 230
Indianapolis, IN 46219-3046
Phone (317) 355-2960

Other practice location 2

1115 Ronald Reagan Pkwy
ste 255
Avon, IN 46123-6910
Phone (317) 217-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CMCDONALD@OA2046.SRS-DIRECT.COM Direct Otolaryngology Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20070321000142 IN Practitioner - Otolaryngology 1153424676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

12065 Old Meridian St
Suite 205
Carmel, IN 46032-8777
Phone (317) 844-7059

12188 B N Meridian St
Suite 200
Carmel, IN 46032-4900
Phone (317) 844-7059

13100 E 136TH St
Suite 1200
Fishers, IN 46037-9418
Phone (317) 844-7059

1400 N Ritter Ave
Suite 230
Indianapolis, IN 46219-3046
Phone (317) 355-2960

1542 S Bloomington St
3Rd FLR Annex
Greencastle, IN 46135-2212
Phone (317) 844-7059

2320 Concord Rd
Suite a
Lafayette, IN 47909-2710
Phone (765) 477-7436

493 Westfield Rd a
RHP Ear Nose and Throat
Noblesville, IN 46060-1304
Phone (317) 770-5800

5255 E Stop 11 Rd
Indianapolis, IN 46237-6341
Phone (317) 844-7059

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056684AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC Otolaryngology CurrentSince Jul 1, 2007 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 7, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 7, 2023 Accepting new patients
Riverview Hospital CurrentSince Aug 11, 2025 Accepting new patients
Riverview Hospital CurrentSince Aug 11, 2025 Accepting new patients
Franciscan Physician Network PastSince Jun 7, 2026 Accepting new patients
Otolaryngology Associates LLC Otolaryngology PastSince Jun 22, 2021 Accepting new patients
Franciscan Physician Network PastSince Jun 7, 2026 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1115 Ronald Reagan Pkwy
Ste 255
Avon, IN 46123
Phone (317) 217-2255

10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1400 N Ritter Ave
Ste 230
Indianapolis, IN 46219
Phone (317) 355-2960

493 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 770-4100

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA
  • Direct secure messaging: cmcdonald@oa2046.srs-direct.com

Organizations & group practices 9

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 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1376604488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781008",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 CONCORD RD STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092710",
            "telephone_number": "765-477-7436",
            "fax_number": "765-477-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Ritter Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193046",
            "country_code": "US",
            "telephone_number": "317-355-2960",
            "fax_number": "317-355-2969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Ronald Reagan Pkwy",
            "address_2": "ste 255",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236910",
            "country_code": "US",
            "telephone_number": "317-217-2255",
            "fax_number": "317-819-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CLEMENT",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01056684A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CMCDONALD@OA2046.SRS-DIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Otolaryngology Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9002 North Meridian Street",
            "address_2": "Suite 222",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.