Individual provider Active NPI

Donald W McBride, M.D.

  • Diagnostic Radiology Physician
  • Newark, OH
National Provider Identifier
1720075237
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35054947 Issued in OH
Practice address
2112 Cherry Valley Rd
Newark, OH 43055-1323
Phone
(740) 522-3774
Fax
(740) 522-2221
NPI assigned
Sep 29, 2005
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35054947 OH Primary

Addresses

Primary practice location

2112 Cherry Valley Rd
Newark, OH 43055-1323

Mailing address

2112 Cherry Valley Rd
P O Box 948
Newark, OH 43055-1323
Phone (740) 522-3774

Other identifiers 1

IdentifierTypeStateIssuer
0893234MedicaidOH

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
I20050207000121 OH Practitioner - Diagnostic Radiology 0840184008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
CT at MidtownGroup PAC ID 9335045681, 34 clinicians

Practice addresses (Care Compare)

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan Womens Imaging at Redbank Diagnostic Radiology CurrentSince Jun 19, 2019 Accepting new patients
Dublin Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jun 17, 2019 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology CurrentSince Jun 19, 2019 Accepting new patients
Advanced Radiologic Physicians, Inc. Diagnostic Radiology Past Accepting new patients

Locations

11594 Springfield Pike
#26
Cincinnati, OH 45246
Phone (513) 772-7750

4850 Red Bank Rd
Fl 2
Cincinnati, OH 45227
Phone (877) 729-6636

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1720075237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 CHERRY VALLEY RD",
            "address_2": "P O BOX 948",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551323",
            "telephone_number": "740-522-3774",
            "fax_number": "740-522-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 CHERRY VALLEY RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551323",
            "telephone_number": "740-522-3774",
            "fax_number": "740-522-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "DONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35054947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.