NPIMap

Individual provider Active NPI

Mary J. McDonald, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux Falls, SD
National Provider Identifier
1518120567
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
10454 Issued in SD
Practice address
1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019
Phone
60532207200
Fax
(605) 322-7222
NPI assigned
Jul 9, 2008
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 15317 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MT444815 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 15317 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10454 SD Primary

Addresses

Primary practice location

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019

Mailing address

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019
Phone 60532207200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170823004392 SD Practitioner - Pathology 3173749462 Reassigns benefits to 1 organization
I20180516000426 IA Practitioner - Pathology 3173749462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Laboratory LTDGroup PAC ID 9234036310, 14 clinicians

Practice addresses (Care Compare)

1301 S Cliff Ave
Suite 700
Sioux Falls, SD 57105-1019
Phone (605) 322-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15317NVMDAnatomic Pathology & Clinical Pathology Physician
MT444815PAMDAnatomic Pathology & Clinical Pathology Physician
10454SDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2018 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2017 Accepting new patients
Physicians Laboratory, LTD. Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2017 Accepting new patients
Physicians Laboratory of Northwest Iowa LTD Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2018 Accepting new patients
Heart Hospital of South Dakota LLC Past Accepting new patients
Avera Queen of Peace Family Medicine Past Accepting new patients
Avera McKennan Past Accepting new patients
Marshall County Memorial Hospital Past Accepting new patients
Spencer Municipal Hospital Past Accepting new patients
Avera Marshall Past Accepting new patients
Sioux Falls Specialty Hospital, LLP Past Accepting new patients
Sioux Center Health Past Accepting new patients

Locations

116 E 11th St
Ste 204
Spencer, IA 51301
Phone (712) 262-3795

1301 S Cliff Ave
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7200

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1518120567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "60532207200",
            "fax_number": "605-322-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "60532207200",
            "fax_number": "605-322-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "NV",
            "license": "15317",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT444815",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "15317",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.