Individual provider Active NPI

Louis R. Macdonald, DPM

  • Podiatrist
  • Moriches, NY
National Provider Identifier
1982605572
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NOO5424 Issued in NY
Practice address
225 Montauk Hwy Ste 113
Moriches, NY 11955-1411
Phone
(631) 878-3330
Fax
(631) 878-3331
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NOO5424 NY
Foot Surgery Podiatrist 213ES0131X NOO5424 NY
Podiatrist 213E00000X NOO5424 NY Primary

Addresses

Primary practice location

225 Montauk Hwy Ste 113
Moriches, NY 11955-1411

Mailing address

225 Montauk Hwy Ste 113
Moriches, NY 11955-1411
Phone (631) 878-3330

Other identifiers 1

IdentifierTypeStateIssuer
02043209MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001108 NY Practitioner - Podiatry 2567675770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot Care of Long Island, PLLCGroup PAC ID 5193002970, 7 clinicians
Louis R. Macdonald, DPM, PCGroup PAC ID 8820201031, 6 clinicians

Practice addresses (Care Compare)

1 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1599
Phone (631) 928-8383

225 Montauk Hwy
Suite 113
Moriches, NY 11955-1411
Phone (631) 878-3330

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as individual
Quality
81.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions33
Removal of nail tissue1039
Removal or shaving of skin growth503
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NOO5424NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis R. Macdonald, DPM, PC Podiatrist CurrentSince Mar 1, 2001 Accepting new patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Feb 26, 2017 Accepting new patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Feb 26, 2017 Accepting new patients

Locations

225 Montauk Hwy
Ste 113
Moriches, NY 11955
Phone (631) 878-3330

1 Medical Dr
Ste B
Port Jefferson Station, NY 11776
Phone (631) 928-8383

Interoperability endpoints

  • Direct secure messaging: louis.macdonald.1@27969.direct.athenahealth.com

Organizations & group practices 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1982605572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY STE 113",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551411",
            "telephone_number": "631-878-3330",
            "fax_number": "631-878-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY STE 113",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551411",
            "telephone_number": "631-878-3330",
            "fax_number": "631-878-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "LOUIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NOO5424",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5424",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO5424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02043209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

Verify at the official NPI Registry.