Individual provider Active NPI

Donnell Stephen Newman Jr., M.D.

  • Emergency Medicine Physician
  • Grosse Pointe Park, MI
National Provider Identifier
1184897209
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P9666 Issued in TX
Practice address
1460 Lakepointe St
Grosse Pointe Park, MI 48230-1016
Phone
(785) 393-4649
NPI assigned
Apr 9, 2008
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301090826 MI
Emergency Medicine Physician 207P00000X P9666 TX Primary

Addresses

Primary practice location

1460 Lakepointe St
Grosse Pointe Park, MI 48230-1016

Mailing address

1460 Lakepointe St
Grosse Pointe Park, MI 48230-1016
Phone (785) 393-4649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140924001829 TX Practitioner - Emergency Medicine 3577618735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrier Reef Emergency Physicians PLLCGroup PAC ID 4789738360, 30 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-0100
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 7, 2016 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 16, 2014 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 16, 2014 Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 15, 2016 Accepting new patients
The Covenant Group PA Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services PA Emergency Medicine Past Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1184897209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 LAKEPOINTE ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301016",
            "telephone_number": "785-393-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 LAKEPOINTE ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301016",
            "telephone_number": "785-393-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "DONNELL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301090826",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P9666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

Verify at the official NPI Registry.