Active NPI
Andrew M. McDonagh, M.D.
- Internal Medicine Physician
- West Allis, WI
National Provider Identifier
1639157449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36290-020
- Practice address
- 8901 W Lincoln Ave
West Allis, WI 53227-2409 - Phone
- (414) 328-6000
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36290-020 | WI | Primary |
Addresses
Primary practice location
8901 W Lincoln Ave
West Allis, WI 53227-2409
Mailing address
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32099400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36290-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Health Management Group | Past | Accepting new patients | |
| Pims S.C. | Internal Medicine | Past | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1639151335
-
- Community Based Hospice Care Agency
- Petoskey, MI
- NPI 1760591374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1639157449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272409",
"telephone_number": "414-328-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272409",
"telephone_number": "414-328-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONAGH",
"first_name": "ANDREW",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "36290-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32099400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.