Individual provider Active NPI

Robert J Donachie Jr., M.D.

  • Gastroenterology Physician
  • Plano, TX
National Provider Identifier
1528090446
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C200190 Issued in CA
Practice address
3060 Communications Pkwy
105
Plano, TX 75093-8449
Phone
(972) 394-8182
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DR.0065999 CO
Gastroenterology Physician 207RG0100X G0901 TX
Gastroenterology Physician 207RG0100X C200190 CA Primary

Addresses

Primary practice location

3060 Communications Pkwy
105
Plano, TX 75093-8449

Mailing address

3060 Communications Pkwy
105
Plano, TX 75093-8449
Phone (972) 394-8182

Other practice location 1

111 Raley Blvd Ste 100
Chico, CA 95928-8351
Phone (530) 894-8800

Other practice location 2

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other identifiers 1

IdentifierTypeStateIssuer
26200252MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050518001241 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 6103867288 Reassigns benefits to 1 organization
I20221028002433 CO Practitioner - Internal MedicinePractitioner - Gastroenterology 6103867288 Reassigns benefits to 1 organization
I20241210001350 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 6103867288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C200190CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wael Asi MD PA Gastroenterology CurrentSince Aug 17, 2020 Accepting new patients
Enloe Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Colorado Permanente Medical Group, P.C. CurrentSince Sep 5, 2023 Accepting new patients
Enloe Medical Center Gastroenterology CurrentSince Dec 5, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Texas Endoscopy LLC PastSince Dec 21, 2011 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

111 Raley Blvd
Chico, CA 95928
Phone (530) 332-9703

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

10350 E Dakota Ave
Ofc
Denver, CO 80247
Phone (303) 344-7771

777 Bannock St
Denver, CO 80204

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Interoperability endpoints

  • Direct secure messaging: rdonachie271466@direct.dhha.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1528090446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-394-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "972-394-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Raley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959288351",
            "country_code": "US",
            "telephone_number": "530-894-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONACHIE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0065999",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G0901",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C200190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26200252",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10350 E Dakota Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802471314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.