Individual provider Active NPI

Colin Matthew Donovan, DO

  • Anesthesiology Physician
  • Albuquerque, NM
National Provider Identifier
1689966301
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A-1995-16 Issued in NM
Practice address
1720 Louisiana Blvd NE
Suite 401
Albuquerque, NM 87110-7022
Phone
(505) 260-4300
Fax
(505) 260-4338
NPI assigned
May 13, 2011
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Student in an Organized Health Care Education/Training Program 390200000X NM
Anesthesiology Physician 207L00000X A-1995-16 NM Primary

Addresses

Primary practice location

1720 Louisiana Blvd NE
Suite 401
Albuquerque, NM 87110-7022

Mailing address

1520 Richmond Dr NE
Albuquerque, NM 87106-1830
Phone (817) 658-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170922000807 TX Practitioner - Anesthesiology 3375786452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 620-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Sep 6, 2019 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Sep 6, 2019 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Aug 13, 2019 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Aug 13, 2019 Accepting new patients

Locations

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1689966301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 RICHMOND DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061830",
            "telephone_number": "817-658-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LOUISIANA BLVD NE",
            "address_2": "SUITE 401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107022",
            "telephone_number": "505-260-4300",
            "fax_number": "505-260-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "COLIN",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "A-1995-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.