Individual provider Active NPI

Donald T McDonald

  • Foot & Ankle Surgery Podiatrist
  • Brookfield, WI
National Provider Identifier
1871159772
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001413A Issued in IN
Practice address
19475 W North Ave Ste 302
Brookfield, WI 53045-4199
Phone
(920) 573-0312
NPI assigned
May 15, 2019
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001413A IN Primary

Addresses

Primary practice location

19475 W North Ave Ste 302
Brookfield, WI 53045-4199

Mailing address

19475 W North Ave Ste 302
Brookfield, WI 53045-4199
Phone (920) 573-0312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002666 WI Practitioner - Podiatry 0648692681 Reassigns benefits to 2 organizations
Practice locations: Brookfield, WI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1001 Quinn Dr
Waunakee, WI 53597-2502
Phone (847) 504-5000

19475 W N Ave
Suite 302
Brookfield, WI 53045-4199
Phone (414) 433-3736

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of nail tissue820
Removal or shaving of skin growth231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001413AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC CurrentSince Jul 1, 2024 Accepting new patients
Wisconsin Foot and Ankle Clinic, SC Foot & Ankle Surgery CurrentSince Jun 13, 2024 Accepting new patients
American Health Network of Indiana, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

19475 W North Ave
Ste 302
Brookfield, WI 53045
Phone (262) 754-8920

8301 Old Sauk Rd
Middleton, WI 53562
Phone (608) 662-8842

50 Pearl Ave
Ste 203
Oshkosh, WI 54901

1001 Quinn Dr
Waunakee, WI 53597

Interoperability endpoints

  • Direct secure messaging: dmcdonald4@direct.iuhealth.org
  • Direct secure messaging: dmcdonald684109@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1871159772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE STE 302",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "920-573-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE STE 302",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "920-573-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DONALD",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001413A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.