Individual provider Active NPI

Richard A Macdonell, MD

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1992745160
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD22659 Issued in OR
Practice address
695 NW York Dr Ste 100
Bend, OR 97703-9702
Phone
(541) 322-6869
Fax
(541) 639-3655
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD22659 OR Primary

Addresses

Primary practice location

695 NW York Dr Ste 100
Bend, OR 97703-9702

Mailing address

695 NW York Dr Ste 100
Bend, OR 97703-9702
Phone (541) 322-6869

Other identifiers 1

IdentifierTypeStateIssuer
287696MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040422000106 OR Practitioner - Internal Medicine 7214923663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

695 NW York Dr
Suite 100
Bend, OR 97703-9702
Phone (541) 322-6869

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions37
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22659ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Macdonell MD PC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

339 SW Century Dr
Ste 103
Bend, OR 97702
Phone (541) 322-6869

695 NW York Dr
Ste 100
Bend, OR 97703
Phone (541) 322-6869

2190 NE Professional Ct
Ste 200
Bend, OR 97701
Phone (541) 322-6869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAJAD/Endpoint/EDAJAD

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1992745160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 NW YORK DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039702",
            "telephone_number": "541-322-6869",
            "fax_number": "541-639-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 NW YORK DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039702",
            "telephone_number": "541-322-6869",
            "fax_number": "541-639-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONELL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287696",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.