NPIMap

Individual provider Active NPI

Chester John Donnally III, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Addison, TX
National Provider Identifier
1730506072
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
S5362 Issued in TX
Practice address
17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone
(214) 370-3535
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X S5362 TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Mailing address

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone (214) 370-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002631 TX Practitioner - Orthopedic Surgery 1850625120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Spine Consultants, LLPGroup PAC ID 5890850804, 14 clinicians

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 400
Addison, TX 75001-7108
Phone (214) 370-3535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion318
Laminectomy or laminotomy (partial removal of spine bones)92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5362TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine Consultants, LLP Orthopaedic Surgery of the Spine CurrentSince May 6, 2020 Accepting new patients
Texas Premium Medical LLC Orthopaedic Surgery of the Spine CurrentSince Jul 27, 2023 Accepting new patients
Texas Spine Consultants, LLP Orthopaedic Surgery CurrentSince May 6, 2020 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 400
Addison, TX 75001
Phone (469) 243-9390

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

4461 Coit Rd
Ste 101
Frisco, TX 75035
Phone (844) 557-4263

5757 Warren Pkwy
Ste 180
Frisco, TX 75034
Phone (214) 618-5502

3465 National Dr
Ste 200
Plano, TX 75025

4001 W 15th St
Ste 180
Plano, TX 75093
Phone (214) 930-1252

Interoperability endpoints

  • Direct secure messaging: chester.donnally.1@15749.direct.athenahealth.com

Organizations & group practices 3

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1730506072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNALLY",
        "first_name": "CHESTER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "S5362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.