Individual provider Active NPI

Robert Maclean Macdonald, M.D.

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1427053974
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35117 Issued in CO
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1351170MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000676 CO Practitioner - General Surgery 1153330204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35117COMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.