Individual provider Active NPI

Elizabeth J Donovan, PA-C

  • Physician Assistant
  • Chevy Chase, MD
National Provider Identifier
1326179656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0001332 Issued in MD
Practice address
5530 Wisconsin Ave
Suite 1455
Chevy Chase, MD 20815-4404
Phone
(301) 656-6700
Fax
(301) 656-6701
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0001332 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave
Suite 1455
Chevy Chase, MD 20815-4404

Mailing address

PO Box 70626
Chevy Chase, MD 20813-0626
Phone (301) 656-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000175 DC Practitioner - Physician Assistant 1759416290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chevy Chase Surgical Associates, P.C.Group PAC ID 3274611751, 4 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 1455
Chevy Chase, MD 20815-4302
Phone (301) 656-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Private Surgical Suite, LLC CurrentSince Jan 29, 2010 Accepting new patients
Washington Institute of Surgery LLC Past Accepting new patients
Prall Anesthesia LLC PastSince Oct 5, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1455
Chevy Chase, MD 20815
Phone (301) 656-6700

Interoperability endpoints

  • Direct secure messaging: edonovan54500@direct.hopkinsmedicine.org

Organizations & group practices 5

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326179656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70626",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208130626",
            "telephone_number": "301-656-6700",
            "fax_number": "301-656-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-6700",
            "fax_number": "301-656-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.