Active NPI
Brian J Donelan, M.D., F.A.C.C.
- Cardiovascular Disease Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35064892
- Practice address
- 95 Arch St
Akron, OH 44304-1437 - Phone
- (330) 376-7000
- Fax
- (330) 376-1066
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35064892 | OH | Primary |
Addresses
Primary practice location
95 Arch St
Akron, OH 44304-1437
Mailing address
PO Box 3542
Akron, OH 44309-3542
Phone (330) 996-0347
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0221236 | Medicaid | OH | |
| 4119473 | Other | OH | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031209000627 | OH | Practitioner - Cardiovascular Disease (Cardiology) | 1759294523 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ohio State University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summa Physicians LLC
Practice addresses (Care Compare)
155 5TH St NE
Barberton, OH 44203-3332
1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700
3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590
525 E Market St
Akron, OH 44304-1619
95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039
95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145
Hospital & facility affiliations
- Summa Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35064892 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Primary Care Assoc of N | Past | Accepting new patients | |
| Summa Barberton Citizens Hospital | Past | Accepting new patients | |
| Northeast Ohio Cardiovascular Specialists Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Summa Physicians LLC | Past | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
Interoperability endpoints
- bdonelan23394@summahealth-direct.org
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 and National Provider Directory roles.
-
- Neurology Physician
- Akron, OH
- NPI 1558786822
-
- Cardiovascular Disease Physician
- Akron, OH
- NPI 1538176136
Cardiovascular Disease
-
- Internal Medicine Physician
- Kent, OH
- NPI 1336195932
-
- Psychiatric Hospital Unit
- Barberton, OH
- NPI 1508049800
-
- Vascular Surgery Physician
- Akron, OH
- NPI 1891743332
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1336255652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3542",
"city": "AKRON",
"state": "OH",
"postal_code": "443093542",
"telephone_number": "330-996-0347",
"fax_number": "330-996-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 ARCH ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041437",
"telephone_number": "330-376-7000",
"fax_number": "330-376-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONELAN",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "M.D., F.A.C.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35064892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0221236",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "4119473",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.