Individual provider Active NPI

Matthias Bernard Donelan, MD

  • Plastic Surgery Physician
  • Newton Lower Falls, MA
National Provider Identifier
1003876384
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
36527 Issued in MA
Practice address
2000 Washington St
Newton Lower Falls, MA 02462-1655
Phone
(617) 244-0990
Fax
(617) 969-4044
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 36527 MA Primary
Surgery Physician 208600000X 36527 MA

Addresses

Primary practice location

2000 Washington St
Newton Lower Falls, MA 02462-1655

Mailing address

2000 Washington St
Newton Lower Falls, MA 02462-1655
Phone (617) 244-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000325 MA Practitioner - Plastic and Reconstructive Surgery 1052355054 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children CurrentSince Mar 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Feb 13, 2016 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 1, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
Plastic Surgical Assciates Plastic Surgery PastSince Jan 14, 1993 Accepting new patients

Locations

51 Blossom St
Boston, MA 02114
Phone (617) 722-3000

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

Interoperability endpoints

  • Direct secure messaging: donelan.matthias.mgh@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1003876384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621655",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621655",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELAN",
        "first_name": "MATTHIAS",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "36527",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "36527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

Verify at the official NPI Registry.