Active NPI
Donald T McDonald
- Foot & Ankle Surgery Podiatrist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001413A
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 36 |
| Removal of nail tissue | 820 |
| Removal or shaving of skin growth | 231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001413A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Current | Accepting new patients | |
| Wisconsin Foot and Ankle Clinic, SC | Foot & Ankle Surgery | Current | 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
- dmcdonald4@direct.iuhealth.org
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Brookfield, WI
- NPI 1972346815
-
- Durable Medical Equipment & Medical Supplies
- Greenfield, IN
- NPI 1902991854
Foot & Ankle Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.