Active NPI
Robert F Donnell, MD
- Urology Physician
- Milwaukee, WI
National Provider Identifier
1659323566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME124003
- Practice address
- 9200 W Wisconsin Ave
Department of Urology
Milwaukee, WI 53226-3522 - Phone
- (414) 805-0805
- Fax
- (414) 805-0771
- NPI assigned
- May 17, 2006
- Last updated
- Sep 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29424 | WI | |
| Urology Physician | 208800000X | ME124003 | FL | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Department of Urology
Milwaukee, WI 53226-3522
Mailing address
PO Box 100247
Gainesville, FL 32610-0247
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3522
Phone (352) 273-6815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002000114W | Other | HUMANA | |
| 1659323566 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rdonnell540386@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1659323566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100247",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF UROLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-0805",
"fax_number": "414-805-0771"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103522",
"country_code": "US",
"telephone_number": "352-273-6815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELL",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "29424",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME124003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000114W",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659323566",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.