DR. DOUGLAS R MCDONALD (MD, PHD) – Allergy Physician, NPI 1558447482

DR. DOUGLAS R MCDONALD (MD, PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD, PHD. They hold a License No. 213635 (MA). The NPI Number for DR. DOUGLAS R MCDONALD (MD, PHD) is 1558447482

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS R MCDONALD (MD, PHD)
NPI
1558447482
Phone
(617) 355-6117
Address
300 LONGWOOD AVE
Enumeration Date
31 October 2006
Last Update Date
14 August 2007

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
6173556000
Graduation Year
1999 (27 years ago)
PAC ID
2062460439
Group Practice PAC ID
3476541830
Professional Enrollment ID
I20050112000484
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

201 ALLERGY/IMMUNOLOGY in MA

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Provider Addresses for DR. DOUGLAS R MCDONALD (MD, PHD)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    FEGAN 6

    BOSTON, MA 021155724

    Phone: (617) 355-6117

    Fax: (617) 730-0528

    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)

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: 2005-01-12

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
I20050112000484IAllergy/ImmunologyMATBD

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 02115)

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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: 3476541830View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
-MA
-MA
Critical Care (Intensivists), Pediatric MedicineMA
Allergy/Immunology, Pediatric MedicineMA
Hematology/Oncology, Pediatric MedicineMA
-MA
G A S T R O E N T E R O L O G YMA
-MA

Reviews

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Frequently asked questions

How do payers reference DR. DOUGLAS R MCDONALD (MD, PHD)?
For DR. DOUGLAS R MCDONALD (MD, PHD), use NPI 1558447482 as the unique 10-digit identifier.
Active or inactive — what applies to DR. DOUGLAS R MCDONALD (MD, PHD)?
You should see DR. DOUGLAS R MCDONALD (MD, PHD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. DOUGLAS R MCDONALD (MD, PHD)?
DR. DOUGLAS R MCDONALD (MD, PHD)'s specialty line reads Allergy Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DOUGLAS R MCDONALD (MD, PHD)?
Directory geography for DR. DOUGLAS R MCDONALD (MD, PHD) centers on Boston, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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