Andrew Tad McDonald, M.D.

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

License

01062210A Issued in IN

Practice address

1725 N 5TH St
Terre Haute, IN 47804-4010

Phone

(812) 242-3005

Fax

(812) 242-3054

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physical Medicine and RehabilitationAlso: Pediatric Medicine

Education

Indiana University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Professionals Community Health Center IncGroup PAC ID 7618067265, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amcdonald@unionhealth.cernerdirect.com

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.

• Valley Professionals Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1104006253
  Medicare reassignment Care Compare group NPD
• Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1891028379

  Sports Medicine

  Medicare reassignment NPD
• Union Hospital, Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013965573
  Medicare reassignment NPD
• Union Associated Physicians Clinic LLC

  • Dermatology Physician
  • Terre Haute, IN
  • NPI 1407404940
  NPD
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD
• Union Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  NPD
• Valley Professionals Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Terre Haute, IN
  • NPI 1952795957
  NPD
• Valley Professionals Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1972312973
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Union Hospital Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1508857145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1972618775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3005",
            "fax_number": "812-242-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-242-3005",
            "fax_number": "812-242-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANDREW",
        "middle_name": "TAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "36113741",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "IN",
            "license": "01062210A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200826590",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N357972",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7037789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00866719",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000481762",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351904269250",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGAMORE",
            "identifier": "351904269E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5055772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALAMET",
            "identifier": "P00360017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kianna McClain
• Kyle McClure
• Emily McComb
• Michael Shawn McCoy, OD
• Sierra McDaniel
• Rodney Dee McDonald, DDS
• Steven A McDonald, MD
• Eric McGee
• Jassie McGovern, DPM
• Elliott Emile McGregory, CRNA

• Pediatric Sports Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pediatric Sports Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.

Verify at the official NPI Registry.