Active NPI
Jorge Donado, M.D.
- Hospitalist Physician
- Bridgeport, CT
National Provider Identifier
1437539012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 61984
- Practice address
- 267 Grant St
Bridgeport, CT 06610 - Phone
- (203) 384-4677
- Fax
- (203) 384-3135
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 4, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Hospitalist Physician | 208M00000X | 296070 | NY | |
| Hospitalist Physician | 208M00000X | 61984 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610
Mailing address
20 York Street, CB-2041
New Haven, CT 06510-3220
Phone (203) 688-1734
Other practice location 1
585 Schenectady Ave
Kingsbrook Jewish Medical Center
Brooklyn, NY 11203-1851
Phone (718) 604-5401
Other practice location 2
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-4677
Other practice location 3
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05337971 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current | Accepting new patients |
Locations
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
Interoperability endpoints
- jdonado18385@middlesexhealthprd.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1437539012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK STREET, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-1734",
"fax_number": "203-688-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "06610",
"telephone_number": "203-384-4677",
"fax_number": "203-384-3135"
}
],
"practiceLocations": [
{
"address_1": "585 Schenectady Ave",
"address_2": "Kingsbrook Jewish Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112031851",
"country_code": "US",
"telephone_number": "718-604-5401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "06610",
"country_code": "US",
"telephone_number": "203-384-4677",
"fax_number": "203-384-3135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-3370",
"fax_number": "845-333-3372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONADO",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "296070",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "61984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05337971",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.