Individual provider Active NPI

Donald Underwood, DO

  • Vascular & Interventional Radiology Physician
  • Phila, PA
National Provider Identifier
1932180890
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS007108E Issued in PA
Practice address
230 N Broad St
Ms310
Phila, PA 19102-1121
Phone
(215) 762-1808
Fax
(215) 762-4721
NPI assigned
Nov 8, 2005
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X OS007108E PA Primary

Addresses

Primary practice location

230 N Broad St
Ms310
Phila, PA 19102-1121

Mailing address

1500 Market St
24TH Floor-West Tower
Phila, PA 19102-2100
Phone (215) 255-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050712000982 NJ Practitioner - Diagnostic Radiology 2769444223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
89.04 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ami Atlanticare LLC CurrentSince Apr 1, 2023 Accepting new patients
Atlantic Medical Imaging CurrentSince Apr 1, 2023 Accepting new patients
Regional Diagnostic Imaging, LLC CurrentSince Jan 31, 2017 Accepting new patients
1450 Associates, LLC PastSince Sep 17, 2001 Accepting new patients
SSP Partners, LLC Past Accepting new patients
Raytel Medical Imaging, Inc. Past Accepting new patients

Locations

1119 Highway 77
Bldg 2
Bridgeton, NJ 08302
Phone (856) 453-1555

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

1450 E Chestnut Ave
Bldg 4
Vineland, NJ 08361
Phone (856) 794-1700

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1932180890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "24TH FLOOR-WEST TOWER",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-255-3828",
            "fax_number": "215-255-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "address_2": "MS310",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-1808",
            "fax_number": "215-762-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DONALD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "OS007108E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.