Timothy John Donatelli, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

WV 00363 Issued in WV

Practice address

401 Rogers St
Princeton, WV 24740-3636

Phone

(304) 487-9442

Fax

(304) 431-3558

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

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 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Clinic of the Virginias IncGroup PAC ID 7911948583, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
• Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdonatelli@usfas.emadirect.md
• Direct secure messaging: timdonatelli@footclinic.allscriptsdirect.net

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.

• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Princeton, WV
  • NPI 1740227909

  VA

  Medicare reassignment Care Compare group NPD Authorized official
• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Fayetteville, WV
  • NPI 1093678922
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1568461440
  Care Compare affiliation
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation
• Raleigh General Hospital LLC

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1982667903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "PROSPERITY",
            "state": "WV",
            "postal_code": "259090365",
            "telephone_number": "304-228-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROGERS ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403636",
            "telephone_number": "304-487-9442",
            "fax_number": "304-431-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "WV 00363",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300831",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003209D",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS' COMPENSATION",
            "identifier": "300175239",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101008000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "300175239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00220975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5467800001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010201641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dixon
• Douglas Stewart Dockery, D.P.M.
• Doctors' Anesthesia Associates Inc
• Ronald Dodson
• Tina Dodson
• Yevetta Donley
• Kristie Jo Dorado, M.ED.
• Sandra J Dorsey
• Mark David Doss II, LPN
• Cynthia Jo Dotson, FNP-C

• Podiatrist in Princeton, WV
• Providers in Princeton, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.