DAVID ALEXANDER DONNELLY (DO) – Internal Medicine Physician, NPI 1659959740

DAVID ALEXANDER DONNELLY (DO) is a healthcare provider. based in Overland park, Kansas. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials DO. They hold a License No. 9410761 (KS). The NPI Number for DAVID ALEXANDER DONNELLY (DO) is 1659959740

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DAVID ALEXANDER DONNELLY (DO)
NPI
1659959740
Phone
(913) 541-6022
Address
12200 W 106TH ST STE 325
Enumeration Date
30 March 2021
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
8167517832
Graduation Year
2021 (5 years ago)
PAC ID
6507267119
Group Practice PAC ID
0143116368
Professional Enrollment ID
I20230317002434
Address ID
MO641083403KA3011XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DAVID ALEXANDER DONNELLY (DO)

  • 12200 W 106TH ST STE 325

    OVERLAND PARK, KS 662152305

    Phone: (913) 541-6022

    Fax: (913) 541-5625

    Type: Mailing

  • 10500 QUIVIRA RD

    OVERLAND PARK, KS 662152373

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 10500 Quivira Rd

    Overland Park, KS 662152373

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 2525 Glenn Hendren Dr

    Liberty, MO 640689625

    Phone: (877) 840-6992

    Fax: (913) 495-3712

    Type: Location

  • 2750 CLAY EDWARDS DR STE 200A

    N KANSAS CITY, MO 641163277

    Phone: (877) 840-6992

    Fax: (913) 495-3712

    Type: Mailing

  • 2800 CLAY EDWARDS DR

    NORTH KANSAS CITY, MO 641163220

    Phone: (877) 840-6992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Lilly USA, LLC ($21).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

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: 2023-03-17

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
I20230317002434IFamily PracticeMOTBD

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 66215)

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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: 0143116368View full group profile
NameSpecialtyState
Family Practice, Internal MedicineKS
Family PracticeKS
Clinical PsychologistMO
Physical Medicine And RehabilitationNE
Internal Medicine, Pediatric MedicineKS
Internal MedicineMO
Family PracticeMO
Clinical PsychologistMO
Emergency Medicine, Family Practice, Sports MedicineMO
Family PracticeMO

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID ALEXANDER DONNELLY (DO)?
NPI 1659959740 is assigned to DAVID ALEXANDER DONNELLY (DO) under the national enumeration system.
Is DAVID ALEXANDER DONNELLY (DO)'s NPI currently valid?
The extract we use shows DAVID ALEXANDER DONNELLY (DO) as active.
What kind of provider is DAVID ALEXANDER DONNELLY (DO)?
The page reflects Internal Medicine Physician for DAVID ALEXANDER DONNELLY (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DAVID ALEXANDER DONNELLY (DO)?
The snapshot lists Overland Park, Kansas for DAVID ALEXANDER DONNELLY (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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