Donnella Simone Comeau, MD PHD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD12003 Issued in RI

Practice address

525 Broad St
Advanced Radiology
Cumberland, RI 02864-6919

Phone

(401) 725-6736

NPI assigned

Jan 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Donella Simone Green Former name

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Harvard Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncGroup PAC ID 4486567104, shared by 12 NPIs, 1,693 clinicians

Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
• Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
• Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcomeau251837@direct.bilh.masshiway.net
• Direct secure messaging: dcomeau96340@tuftsmedicine.direct-ci.com

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.

• Pratt Radiology Associates, Inc

  dba Pratt Associates

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1154361780
  Medicare reassignment Care Compare group NPD
• Advanced Radiology, Inc.

  • Diagnostic Radiology Physician
  • Cumberland, RI
  • NPI 1780638494
  Medicare reassignment NPD
• Open MRI of New England, Inc.

  • Diagnostic Radiology Physician
  • Cumberland, RI
  • NPI 1053365734
  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba APHMFP-Radiology

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1245773308
  Medicare reassignment NPD
• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  Medicare reassignment NPD
• Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce

  dba Radiology - HMFP at BIDMC

  • Body Imaging Physician
  • Boston, MA
  • NPI 1275574899

  Diagnostic Radiology

  Medicare reassignment NPD
• Woonsocket Urgent Care, PC

  dba Norwood Urgent Care and Primary Care Center

  • Internal Medicine Physician
  • East Walpole, MA
  • NPI 1881929586
  Medicare reassignment NPD
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  dba Associated Physicians of HMFP

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Beth Israel Deaconess Medical Center, Inc.

  • Ambulance
  • Boston, MA
  • NPI 1518600501
  NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  dba Emergency Medicine - HMFP at BIDMC

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation
• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751
  Care Compare affiliation
• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720068307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ELMGROVE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064233",
            "telephone_number": "781-962-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "ADVANCED RADIOLOGY",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646919",
            "telephone_number": "401-725-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "DONNELLA",
        "middle_name": "SIMONE",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "223820",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOE CROSS BLUE SHIELD",
            "identifier": "J29652",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "294444",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112710",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONELLA",
            "last_name": "GREEN",
            "middle_name": "SIMONE",
            "credential": "MD PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brad Michael Ciano, DPM
• Erica Clavet
• Abigail Cleland, RN
• Clyde E Haworth Jr
• Loriann Collins, RPH, MBA
• Compass Counseling of Ri
• Concentra Health Care PA
• Concentra Primary Care PA (Concentra Primary Care)
• Maria Corwin-Gotimer, M.S. CCC/SLP
• Courtney B Huard Ms Rd LDN, LLC

• Diagnostic Radiology Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Diagnostic Radiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.