Active NPI
Robert B Donoway, M.D.
- Surgery Physician
- Hollywood, FL
National Provider Identifier
1760400030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME58579
- Practice address
- 4000 Hollywood Blvd
Presidential Circle, Suite 160 North
Hollywood, FL 33021-6751 - Phone
- (954) 986-6366
- Fax
- (954) 986-4355
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | ME0058579 | FL | |
| Surgery Physician | 208600000X | ME58579 | FL | Primary |
Addresses
Primary practice location
4000 Hollywood Blvd
Presidential Circle, Suite 160 North
Hollywood, FL 33021-6751
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01601043 | Other | FL | RR MEDICARE |
| 002542 | Other | FL | NEIGHBORHOOD HEALTH |
| 4203517 | Other | FL | AETNA |
| 880534 | Other | FL | UNITED |
| 206671 | Other | FL | AVMED |
| P300263 | Other | FL | FREEDOM |
| 11511 | Other | FL | BCBS |
| 054214800 | Medicaid | FL | |
| 11511 | Other | FL | BLUE CROSS BLUE SHIELD |
| P971724 | Other | FL | OPTIMUM |
| 020050089 | Other | FL | RAILROAD MEDICARE |
| 1286341 | Other | FL | CIGNA |
| 2542 | Other | FL | DIMENSION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110104000277 | FL | Practitioner - Surgical Oncology | 6305862442 | Practice locations: Hollywood, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58579 | FL | MD | Surgery Physician |
| ME0058579 | FL | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1760400030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HOLLYWOOD BLVD",
"address_2": "PRESIDENTIAL CIRCLE, SUITE 160 NORTH",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216751",
"telephone_number": "954-986-6366",
"fax_number": "954-986-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOWAY",
"first_name": "ROBERT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "ME0058579",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME58579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01601043",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "002542",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203517",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "880534",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206671",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P300263",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "11511",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054214800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "11511",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P971724",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020050089",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1286341",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION",
"identifier": "2542",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.