Active NPI
Richard A Macdonell, MD
- Internal Medicine Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD22659
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287696 | Medicaid | OR |
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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 37 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22659 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Macdonell MD PC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Bend, OR
- NPI 1649334285
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.