NPIMap

Individual provider Active NPI

Kenneth Wayne Donovan, M.D.

  • Internal Medicine Physician
  • Essex, CT
National Provider Identifier
1669447207
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042916 Issued in CT
Practice address
35 Saybrook Rd
Unit 6
Essex, CT 06426-1490
Phone
(860) 358-3725
Fax
(860) 358-3726
NPI assigned
Feb 17, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042916 CT Primary
Internal Medicine Physician 207R00000X MD12478 RI

Addresses

Primary practice location

35 Saybrook Rd
Unit 6
Essex, CT 06426-1490

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000079 CT Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4981653714 Reassigns benefits to 5 organizations
I20080318000712 RI Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4981653714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Tufts University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325

35 Saybrook Rd
Suite 6
Essex, CT 06426-1490
Phone (860) 767-1200

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042916CTMDInternal Medicine Physician
MD12478RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Ma Pacs 2 PC CurrentSince Sep 30, 2020 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Sep 1, 2017 Accepting new patients
MHS Primary Care Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Lawrence and Memorial Hospital, Inc. Internal Medicine Past Accepting new patients
Rehabilitation Medical Associates, P.C. Internal Medicine PastSince May 26, 2024 Accepting new patients
Sound Medical Associates, PC Internal Medicine Past Accepting new patients
Hospital Internists of New London, LLC Past Accepting new patients
Conncare Inc Internal Medicine Past Accepting new patients

Locations

35 Saybrook Rd
Ste 6
Essex, CT 06426

35 Saybrook Rd
Unit 6
Essex, CT 06426
Phone (860) 358-3725

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

365 Montauk Ave
Rm 4
New London, CT 06320

365 Montauk Ave
Rm 4512
New London, CT 06320

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

161 Post Rd
Westerly, RI 02891
Phone (401) 322-8081

Interoperability endpoints

  • Direct secure messaging: kdonovan100189@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: kdonovan325684@direct.ynhh.org

Organizations & group practices 10

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.

Hospital & facility affiliations 11

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1669447207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SAYBROOK RD",
            "address_2": "UNIT 6",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261490",
            "telephone_number": "860-358-3725",
            "fax_number": "860-358-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042916",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD12478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.