Individual provider Active NPI

Desiree Elaine Doncals, M.D.

  • Radiation Oncology Physician
  • Medina, OH
National Provider Identifier
1689665994
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35-068437 Issued in OH
Practice address
3780 Medina Rd
1St Floor
Medina, OH 44256-9311
Phone
(330) 721-6825
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35-068437 OH Primary

Addresses

Primary practice location

3780 Medina Rd
1St Floor
Medina, OH 44256-9311

Mailing address

525 E Market St
PO Box 2090
Akron, OH 44304-1619
Phone (330) 996-8603

Other identifiers 1

IdentifierTypeStateIssuer
0152374MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000257 OH Practitioner - Radiation Oncology 7810881208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLC 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-068437OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Dec 17, 2012 Accepting new patients
Summa Physicians LLC CurrentSince Dec 17, 2012 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients
Summa Physicians LLC Radiation Oncology Past Accepting new patients

Locations

161 N Forge St
Ste 190
Akron, OH 44304
Phone (330) 375-3557

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

75 Arch St
Ste 410
Akron, OH 44304
Phone (330) 375-7474

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

3780 Medina Rd
Ste 150
Medina, OH 44256
Phone (330) 721-6825

3780 Medina Rd
Fl 1
Medina, OH 44256
Phone (330) 721-6825

Interoperability endpoints

  • Direct secure messaging: ddoncals23391@summahealth-direct.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1689665994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "PO BOX 2090",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-996-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 MEDINA RD",
            "address_2": "1ST FLOOR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569311",
            "telephone_number": "330-721-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONCALS",
        "first_name": "DESIREE",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35-068437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152374",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.