DOMINIQUE MICHELLE DONATELLI MD
NPI 1093399909
Anesthesiology in Grand Rapids, MI
NPI Status: Active since May 06, 2021
Contact Information
3333 EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 364-7347
- Individual
- Female
- Anesthesiology
- PECOS Enrolled
About DOMINIQUE DONATELLI
This page provides the complete NPI Profile along with additional information for Dominique Donatelli, an anesthesiologist established in Grand Rapids, Michigan with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1093399909 assigned on May 2021. The practitioner's primary taxonomy code is 207L00000X with license number 4351047691 (MI). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1093399909
- Provider Name
- DOMINIQUE MICHELLE DONATELLI MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525
- Location Phone
- (616) 364-7347
- Mailing Address
- 2712 MIRACLE LN NE GRAND RAPIDS, MI 49525
- Mailing Phone
- (630) 776-4594
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-06-2021
- Last Update Date
- 06-12-2025
- Code Navigator
An anesthesiologist like Dominique Donatelli manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 3601 W Thirteen Mile Rd Beaumont Hospital GME Office
Royal Oak, MI 48073
(248) 898-5000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4351047691
- License State
- MI
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Medicare Participation & PECOS Enrollment Status
Dominique Donatelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 3 | 9 | 9 | 9 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 6 | 9 | 18 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 6 + 9 + 1 + 8 + 9 + 0 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1093399909 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386622983 | DR. MARY MARTHA APPELT MD Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1114907284 | DR. TODD A EMERY MD Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1780664656 | DR. EDUARDO ORTIZ JR. MD Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1780664078 | DR. SUSANNE GELBKE PAREKH MD Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1265406235 | DR. DAVID L DULL MD Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1992768659 | DR. RALPH T WALSH DO Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1447262548 | MR. JACK PHILIP NICKERSON CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1881708717 | MS. JULIA A NOORDEWIER CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1083720106 | MS. ELIZABETH ANN TALSMA CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1588772370 | MS. CAROLINE WALKER BLAKE CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1053596387 | DR. VIVIAN NNENNA ONYEWUCHE M.D. Individual | Anesthesiology | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1831325786 | MRS. JOAN JANENE CASLER CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1093946352 | MS. TRACY MARIE MAAS CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1568799815 | KATHY JEAN LEE NP Individual | Nurse Practitioner | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1568791317 | MS. MARY ELIZABETH WHITE RN Individual | Registered Nurse (Pain Management) | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1417286394 | MS. DENISE ANN GEBOTT RN Individual | Registered Nurse (Pain Management) | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1508181561 | MS. BARBARA ANNE JOHNSON RN Individual | Registered Nurse (Pain Management) | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1356662191 | MS. JOANNE ELIZABETH DECKER RN Individual | Registered Nurse | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1528363926 | MS. TIMBERLY KAY DETERS RN Individual | Registered Nurse | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
| 1639474083 | MS. JULIE KAYE OLMSTEAD RN Individual | Registered Nurse | 3333 EVERGREEN DR NE GRAND RAPIDS, MI 49525 (616) 364-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093399909, enumerated in the NPI registry as an "individual" on May 06, 2021
The provider is located at 3333 Evergreen Dr Ne Grand Rapids, Mi 49525 and the phone number is (616) 364-7347
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 06, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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