Individual provider Active NPI

Donald B Macdougall, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport, RI
National Provider Identifier
1942415146
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD8012 Issued in RI
Practice address
11 Friendship St
Pathology-Lab, Hazard 3
Newport, RI 02840-2209
Phone
(401) 845-1284
Fax
(401) 845-1990
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD8012 RI Primary

Addresses

Primary practice location

11 Friendship St
Pathology-Lab, Hazard 3
Newport, RI 02840-2209

Mailing address

75 Fischer Cir
Portsmouth, RI 02871-5409
Phone (401) 849-0833

Other identifiers 1

IdentifierTypeStateIssuer
7003132MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8012RIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Anatomic Pathology & Clinical Pathology CurrentSince Jan 7, 2017 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

11 Friendship St
#3
Newport, RI 02840
Phone (401) 845-1284

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1942415146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FISCHER CIR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028715409",
            "telephone_number": "401-849-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "address_2": "PATHOLOGY-LAB, HAZARD 3",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-1284",
            "fax_number": "401-845-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "DONALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "MD8012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003132",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.