Individual provider Active NPI

Daniel H Donovan, MD

  • Neurology Physician
  • Cookeville, TN
National Provider Identifier
1629068994
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD017911 Issued in TN
Practice address
105 Cherry Ave
Cookeville, TN 38501-2521
Phone
(931) 528-5811
Fax
(931) 526-1497
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD017911 TN Primary

Addresses

Primary practice location

105 Cherry Ave
Cookeville, TN 38501-2521

Mailing address

105 Cherry Ave
Cookeville, TN 38501-2521
Phone (931) 528-5811

Other identifiers 1

IdentifierTypeStateIssuer
3027447MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000304 TN Practitioner - NeurologyPractitioner - Psychiatry 6800835331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Cherry Ave
Cookeville, TN 38501-2521
Phone (931) 528-5811

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as individual
Quality
53.9
Improvement activities
40
Cost
90.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017911TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Neurology, PLC CurrentSince Jan 5, 2005 Accepting new patients
Virtuox, LLC CurrentSince Sep 11, 2023 Accepting new patients
Neurology & Psychiatry Associates, PLLC Neurology PastSince Jan 18, 2006 Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

105 Cherry Ave
Cookeville, TN 38501
Phone (931) 528-5811

315 N Washington Ave
Ste 202
Cookeville, TN 38501
Phone (931) 528-2884

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 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1629068994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-528-5811",
            "fax_number": "931-526-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-528-5811",
            "fax_number": "931-526-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "DANIEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD017911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027447",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.