Kevin J Donnelly, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME68587 Issued in FL

Practice address

120 Medical Blvd Ste 105
Spring Hill, FL 34609-0221

Phone

(727) 441-3588

Fax

(727) 216-0704

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of South Alabama College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Coast Ear, Nose and Throat, IncGroup PAC ID 0941260103, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1528
• Direct secure messaging: kevin.donnelly@enta.gwaydirect.com
• Direct secure messaging: kdonnelly295990@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• West Coast Ear, Nose & Throat Inc

  • Otolaryngology Physician
  • Clearwater, FL
  • NPI 1346229440
  Medicare reassignment Care Compare group NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1124020557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563313",
            "telephone_number": "727-791-1368",
            "fax_number": "727-216-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL BLVD STE 105",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090221",
            "telephone_number": "727-441-3588",
            "fax_number": "727-216-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME68587",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisela Dominguez, MD
• Donald E Johnson, MD PL
• Donald J Adamov DPM PA
• Donald L Wexler DDS PH D PA
• Charles C Donley, P.T.
• Peter James Doran, D.C., P.A.
• Kathy L Dorch
• Rosalyn Ann Doris
• Stanley Daniel Doris
• Emily Downing

• Otolaryngology Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.