Individual provider Active NPI

Thomas Kent Donaldson, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Colton, CA
National Provider Identifier
1457315269
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
G55682 Issued in CA
Practice address
900 E Washington St
#200
Colton, CA 92324-7111
Phone
(909) 882-5867
Fax
(909) 503-1913
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G55682 CA Primary

Addresses

Primary practice location

900 E Washington St
#200
Colton, CA 92324-7111

Mailing address

399 E 21St St
San Bernardino, CA 92404-4815
Phone (909) 882-5867

Other identifiers 1

IdentifierTypeStateIssuer
00556820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060920000314 CA Practitioner - Orthopedic SurgeryPractitioner - General Practice 9133124456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

11406 Loma Linda Dr
Suite 300
Loma Linda, CA 92354-3711
Phone (909) 558-6277

25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808

900 E Washington St
Suite 200
Colton, CA 92324-4192
Phone (909) 558-4000

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement83
Knee replacement100
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55682CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 16, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2019 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Locations

900 E Washington St
Ste 200
Colton, CA 92324
Phone (909) 882-5867

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

11370 Anderson St
Ste 1500
Loma Linda, CA 92354
Phone (909) 558-2802

25455 Barton Rd
Ste 102B
Loma Linda, CA 92354
Phone (909) 558-2808

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

268 W Hospitality Ln
Ste 300
San Bernardino, CA 92408
Phone (909) 651-4352

250 E Caroline St
San Bernardino, CA 92408
Phone (909) 528-1471

399 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thomas.donaldson@1174.chartlogic.direct-ci.com

Organizations & group practices 11

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 6

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1457315269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-5867",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "#200",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-882-5867",
            "fax_number": "909-503-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "THOMAS",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G55682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00556820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.