Individual provider Active NPI

Beth M Donnelly, MD

  • Internal Medicine Physician
  • Oak Bluffs, MA
National Provider Identifier
1235195207
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215522 Issued in MA
Practice address
1 Hospital Road
Oak Bluffs, MA 02557-1477
Phone
(508) 693-0410
Fax
(508) 693-5971
NPI assigned
Apr 26, 2006
Last updated
Mar 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215522 MA Primary

Addresses

Primary practice location

1 Hospital Road
Oak Bluffs, MA 02557-1477

Mailing address

1 Hospital Road
Oak Bluffs, MA 02557-1477
Phone (508) 693-0410

Other names 1

  • Beth M Macdonald Former name

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
I20060626000290 MA Practitioner - Internal Medicine 3476565912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martha's Vineyard Hospital IncGroup PAC ID 9931166113, shared by 5 NPIs, 150 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215522MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Apr 1, 2008 Accepting new patients
Martha's Vineyard Hospital, Inc. Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
Martha's Vineyard Hospital Current Accepting new patients

Locations

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

340 Main St
Ste 670
Worcester, MA 01608
Phone (508) 754-3560

Interoperability endpoints

  • Direct secure messaging: donnelly.beth.mvh@direct.partners.masshiway.net

Organizations & group practices 3

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 6

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1235195207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-693-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-693-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "215522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MACDONALD",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.