Individual provider Active NPI

Pamela Donlan, MD

  • Diagnostic Radiology Physician
  • Lake Forest, IL
National Provider Identifier
1962472324
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036079625 Issued in IL
Practice address
1000 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1658
Phone
(847) 234-5600
Fax
(847) 535-7847
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 038733 GA
Diagnostic Radiology Physician 2085R0202X 036079625 IL Primary

Addresses

Primary practice location

1000 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1658

Mailing address

1000 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1658
Phone (847) 234-5600

Other practice location 1

975 Johnson Ferry Rd NE
Suite 100
Atlanta, GA 30342-1619
Phone (404) 255-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040614001122 GA Practitioner - Diagnostic Radiology 5092799510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Care SpecialistsGroup PAC ID 8123014297, 13 clinicians

Practice addresses (Care Compare)

975 Johnson Ferry Rd
Suite 500
Atlanta, GA 30342-4737
Phone 4042558086208

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
Quality
62.5
Improvement activities
40
Cost
73.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038733GAMDDiagnostic Radiology Physician
036079625ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Care Specialists Diagnostic Radiology CurrentSince Apr 18, 2011 Accepting new patients

Locations

975 Johnson Ferry Rd
Ste 5
Atlanta, GA 30342
Phone (404) 255-8086

975 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 255-8086

975 Johnson Fy Rd NE
Ste 500
Sandy Springs, GA 30342
Phone (404) 255-8086

Interoperability endpoints

  • Direct secure messaging: pameladonlan@bcsllc.allscriptsdirect.net

Organizations & group practices 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1962472324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD STE 100",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-234-5600",
            "fax_number": "847-535-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD STE 100",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-234-5600",
            "fax_number": "847-535-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Johnson Ferry Rd NE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421619",
            "country_code": "US",
            "telephone_number": "404-255-8086",
            "fax_number": "404-531-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONLAN",
        "first_name": "PAMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "038733",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036079625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.