DR. DONALD A UNDERWOOD (DO MD) – Family Medicine Physician, NPI 1598861817

DR. DONALD A UNDERWOOD (DO MD) is a healthcare provider. based in San bernardino, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO MD. They hold a License No. 20A4681 (CA). The NPI Number for DR. DONALD A UNDERWOOD (DO MD) is 1598861817

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD A UNDERWOOD (DO MD)
NPI
1598861817
Phone
(909) 881-6146
Address
1963 NORTH E STREET
Enumeration Date
15 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
9097088158
Graduation Year
1974 (52 years ago)
PAC ID
4880910371
Group Practice PAC ID
2769392927
Professional Enrollment ID
I20150227000357
Address ID
CA924011109SA665XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. DONALD A UNDERWOOD (DO MD)

  • North E Street, San Bernardino, San Bernardino County, California, 92405, United States

    SAN BERNARDINO, CA 924053919

    Phone: (909) 881-6146

    Fax: (909) 881-0111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($25).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150227000357IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769392927View full group profile
NameSpecialtyState
Clinical PsychologistCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Clinical Social WorkerCA
Family PracticeCA
Family Practice, Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What federal number belongs to DR. DONALD A UNDERWOOD (DO MD)?
The federal identifier for DR. DONALD A UNDERWOOD (DO MD) is NPI 1598861817.
Does this profile mean DR. DONALD A UNDERWOOD (DO MD) is currently active?
Yes — DR. DONALD A UNDERWOOD (DO MD) appears active in the national provider directory.
What kind of provider is DR. DONALD A UNDERWOOD (DO MD)?
The page reflects Family Medicine Physician for DR. DONALD A UNDERWOOD (DO MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. DONALD A UNDERWOOD (DO MD)?
We surface San Bernardino, California for DR. DONALD A UNDERWOOD (DO MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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