Individual provider Active NPI

Kevin Donohue, M.D.

  • Dermatology Physician
  • Marlborough, MA
National Provider Identifier
1225087919
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
227115 Issued in MA
Practice address
340 Maple St
Marlborough, MA 01752-3200
Phone
(508) 485-7779
Fax
(508) 485-7769
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 227115 MA Primary

Addresses

Primary practice location

340 Maple St
Marlborough, MA 01752-3200

Mailing address

340 Maple St
Marlborough, MA 01752-3200
Phone (508) 485-7779

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
I20060802000301 MA Practitioner - Dermatology 0446263842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Geisel School of Medicine at Dartmouth, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louis Kuchnir MD PCGroup PAC ID 0143270868, 17 clinicians

Practice addresses (Care Compare)

1 Maple St
Milford, MA 01757-5614
Phone (508) 478-2610

11 Apex Dr
Suite 103a
Marlborough, MA 01752-1860
Phone 5084857779857779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions1121
Removal or shaving of skin growth1-10
Skin biopsy308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227115MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Kuchnir MD PC Dermatology CurrentSince Jul 1, 2006 Accepting new patients

Locations

340 Maple St
Ste 203
Marlborough, MA 01752
Phone (508) 485-7779

11 Apex Dr
Ste 103A
Marlborough, MA 01752
Phone (508) 485-7779

1 Maple St
Milford, MA 01757
Phone (508) 478-2610

Organizations & group practices 1

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.

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1225087919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-485-7779",
            "fax_number": "508-485-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-485-7779",
            "fax_number": "508-485-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "227115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.