Individual provider Active NPI

Robert Alfred Donato, M.D.

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1710945860
Registry record updated Jun 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36335 Issued in TN
Practice address
995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone
(901) 527-7100
Fax
(901) 527-7124
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36335 TN Primary
Urology Physician 208800000X 17711 MS

Addresses

Primary practice location

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882

Mailing address

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone (901) 527-7100

Other identifiers 10

IdentifierTypeStateIssuer
3722370OtherCIGNA
2079595OtherFIRST HEALTH
3873632MedicaidTN
02110026200OtherQUAL CHOICE
660724OtherHEALTH LINK
4041786OtherTNBLUE CROSS
99287OtherBLUE CROSS AR
13305935OtherPHCS
211159OtherSOUTHERN HEALTH SERVICES
7436345OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20090205000196 TN Practitioner - Urology 8022111699 Reassigns benefits to 1 organization
I20090212000008 MS Practitioner - Urology 8022111699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Urology Network PCGroup PAC ID 3779501390, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

7420 Guthrie Dr N
Suite 111
Southaven, MS 38671-5877
Phone (662) 349-2220

995 S Yates
Suite 1
Memphis, TN 38119-0882

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone (901) 527-7100

9950 S Yates Rd
Suite 1
Memphis, TN 38119-0882

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36335TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Urology Network PC Urology CurrentSince Feb 1, 2009 Accepting new patients
Southeast Urology Network PC Urology CurrentSince Feb 1, 2009 Accepting new patients
Conrad Pearson Clinic PC Urology Past Accepting new patients
Trasun LLC SH Past Accepting new patients

Locations

7420 Guthrie Dr N
Ste 111
Southaven, MS 38671
Phone (662) 349-2220

995 S Yates Rd
Ste 1
Memphis, TN 38119
Phone (901) 527-7100

Interoperability endpoints

  • Direct secure messaging: rdonato32083@mlh.direct-ci.com

Organizations & group practices 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1710945860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100",
            "fax_number": "901-527-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100",
            "fax_number": "901-527-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "ROBERT",
        "middle_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "36335",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "17711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3722370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2079595",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873632",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "02110026200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "660724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4041786",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AR",
            "identifier": "99287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "13305935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "211159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7436345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.