Individual provider Active NPI

David Alexander Donnelly, DO

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1659959740
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2023006568 Issued in MO
Practice address
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone
(877) 840-6992
NPI assigned
Mar 30, 2021
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9410761 KS
Internal Medicine Physician 207R00000X 2023006568 MO Primary
Hospitalist Physician 208M00000X 2023006568 MO

Addresses

Primary practice location

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220

Mailing address

2750 Clay Edwards Dr Ste 200a
N Kansas City, MO 64116-3277
Phone (877) 840-6992

Other practice location 1

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (877) 840-6992

Other practice location 2

10500 Quivira Rd
Overland Park, KS 66215-2373
Phone (913) 541-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230317002434 MO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 6507267119 Reassigns benefits to 3 organizations
I20260618002069 CA Practitioner - Internal Medicine 6507267119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Gates Hospitalists LLCGroup PAC ID 1759287527, 9 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

2800 Clay Edwards Dr
NKC Hospital
North Kansas City, MO 64116-3220
Phone (877) 840-6992

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Samaritan Hospital CurrentSince Mar 1, 2023 Accepting new patients
Gates Hospitalists LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

2750 Clay Edwards Dr
Ste 200A
North Kansas City, MO 64116
Phone (816) 691-2000

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

Interoperability endpoints

  • Direct secure messaging: david.donnelly@hca2.eclinicaldirectplus.com

Organizations & group practices 5

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 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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1659959740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 200A",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163277",
            "telephone_number": "877-840-6992",
            "fax_number": "913-495-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DR",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163220",
            "telephone_number": "877-840-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Glenn Hendren Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640689625",
            "country_code": "US",
            "telephone_number": "877-840-6992",
            "fax_number": "913-495-3712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152373",
            "country_code": "US",
            "telephone_number": "913-541-5000",
            "fax_number": "913-541-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9410761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2023006568",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2023006568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.