DR. MICHELLE DENISE MCDONOUGH (M.D.) – Diagnostic Radiology Physician, NPI 1083605166

DR. MICHELLE DENISE MCDONOUGH (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME68638 (FL). The NPI Number for DR. MICHELLE DENISE MCDONOUGH (M.D.) is 1083605166

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE DENISE MCDONOUGH (M.D.)
NPI
1083605166
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
29 October 2005
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2127723111
Graduation Year
1990 (36 years ago)
PAC ID
7517002355
Group Practice PAC ID
2264424712
Professional Enrollment ID
I20220407002729
Address ID
CO802372522DE4675XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. MICHELLE DENISE MCDONOUGH (M.D.)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • 100 Cook St

    Denver, CO 802065322

    Phone: (720) 516-9420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220407002729IDiagnostic RadiologyCOTBD
I20230306002389IDiagnostic RadiologyDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography2,5851,508$0
77067Screening mammography2,5801,505$0
76641Complete ultrasound scan of 1 breast470252$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 2264424712View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Diagnostic RadiologyNV
Diagnostic RadiologyNY
Diagnostic RadiologyNJ
Diagnostic RadiologyNY
Diagnostic RadiologyDE
Diagnostic RadiologyNY
Diagnostic RadiologyCT
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

How do I look up DR. MICHELLE DENISE MCDONOUGH (M.D.) by NPI?
Use NPI 1083605166 when you need to reference DR. MICHELLE DENISE MCDONOUGH (M.D.) in forms, claims, or directories.
Is DR. MICHELLE DENISE MCDONOUGH (M.D.) active in the national directory?
DR. MICHELLE DENISE MCDONOUGH (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. MICHELLE DENISE MCDONOUGH (M.D.)?
The page reflects Diagnostic Radiology Physician for DR. MICHELLE DENISE MCDONOUGH (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. MICHELLE DENISE MCDONOUGH (M.D.)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for DR. MICHELLE DENISE MCDONOUGH (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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