Individual provider Active NPI

Linh Kim Donnell, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1861019408
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025781 Issued in NY
Practice address
2 Executive Park Dr 2ND Floor
Albany, NY 12203-3700
Phone
(518) 452-1928
Fax
(518) 482-0173
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CT
Physician Assistant 363A00000X 025781 NY Primary

Addresses

Primary practice location

2 Executive Park Dr 2ND Floor
Albany, NY 12203-3700

Mailing address

2 Executive Park Dr 2ND Floor
Albany, NY 12203-3700
Phone (518) 452-1928

Other identifiers 1

IdentifierTypeStateIssuer
1Other1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200902003439 CT Practitioner - Physician Assistant 1951728062 Reassigns benefits to 2 organizations
I20201231001294 NY Practitioner - Physician Assistant 1951728062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Enfield, LLCGroup PAC ID 6305061912, 8 clinicians

Practice addresses (Care Compare)

113 Elm St
Suite 304
Enfield, CT 06082-3739
Phone (860) 741-2225

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
97.72
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4858CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Sep 1, 2020 Accepting new patients
Starling Physicians, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: ldonnell@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1861019408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE PARK DR 2ND FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033700",
            "telephone_number": "518-452-1928",
            "fax_number": "518-482-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE PARK DR 2ND FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033700",
            "telephone_number": "518-452-1928",
            "fax_number": "518-482-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "LINH",
        "middle_name": "KIM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.