Individual provider Active NPI

Robert Favret Donner, MD

  • Anesthesiology Physician
  • Gulfport, MS
National Provider Identifier
1386008332
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27474 Issued in MS
Practice address
4500 13TH St FL 2
Gulfport, MS 39501-2569
Phone
(228) 575-1194
Fax
(228) 575-2917
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27474 MS Primary

Addresses

Primary practice location

4500 13TH St FL 2
Gulfport, MS 39501-2569

Mailing address

4500 13TH St FL 2
Gulfport, MS 39501-2569
Phone (228) 575-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220814000056 LA Practitioner - Anesthesiology 6507152865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Capital City Anesthesia Group, LLCGroup PAC ID 1658272844, 49 clinicians

Practice addresses (Care Compare)

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nuedge Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Diversified Professionals, Inc. Anesthesiology CurrentSince Mar 10, 2023 Accepting new patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Feb 2, 2024 Accepting new patients
The Capital City Anesthesia Group, LLC Anesthesiology CurrentSince May 10, 2022 Accepting new patients

Locations

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

Interoperability endpoints

  • Direct secure messaging: rdonner12209@direct.casso.us.com
  • Direct secure messaging: rdonner@direct.mhg.com

Organizations & group practices 4

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 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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1386008332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 13TH ST FL 2",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012569",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST FL 2",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012569",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "ROBERT",
        "middle_name": "FAVRET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "27474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.