Active NPI
Robert Maclean Macdonald, M.D.
- Surgery Physician
- Denver, CO
National Provider Identifier
1427053974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35117
- Practice address
- 4545 E 9TH Ave Ste 460
Denver, CO 80220-3904 - Phone
- (303) 388-2922
- Fax
- (303) 388-2962
- NPI assigned
- Jun 20, 2005
- Last updated
- Aug 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35117 | CO | Primary |
Addresses
Primary practice location
4545 E 9TH Ave Ste 460
Denver, CO 80220-3904
Mailing address
4545 E 9TH Ave
Ste 460
Denver, CO 80220-3904
Phone (303) 388-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1351170 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000676 | CO | Practitioner - General Surgery | 1153330204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35117 | CO | MD | Surgery Physician |
Interoperability endpoints
- robert.macdonald@hca3.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1427053974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE",
"address_2": "STE 460",
"city": "DENVER",
"state": "CO",
"postal_code": "802203904",
"telephone_number": "303-388-2922",
"fax_number": "303-388-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E 9TH AVE STE 460",
"city": "DENVER",
"state": "CO",
"postal_code": "802203904",
"telephone_number": "303-388-2922",
"fax_number": "303-388-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "ROBERT",
"middle_name": "MACLEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "35117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1351170",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.