Individual provider Active NPI

Stuart Lee Donovan, M.D.

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1760469183
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35061291 Issued in OH
Practice address
7502 State Rd
Ste. 1180
Cincinnati, OH 45255-2800
Phone
(513) 232-8181
Fax
(513) 624-2956
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35061291 OH
Vascular Surgery Physician 2086S0129X 35061291 OH Primary

Addresses

Primary practice location

7502 State Rd
Ste. 1180
Cincinnati, OH 45255-2800

Mailing address

1270 Solutions Center
PO Box 771270
Chicago, IL 60677-1002
Phone (513) 542-6898

Other identifiers 6

IdentifierTypeStateIssuer
00000002198OtherOHANTHEM
020034065OtherOHRAILROAD MEDICARE
0647990OtherOHAETNA
0836402MedicaidOH
743188OtherOHBUCKEYE
299865OtherOHAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090219000006 OH Practitioner - General SurgeryPractitioner - Vascular Surgery 2961566856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

6200 Pfeiffer Rd
Suite 360
Montgomery, OH 45242-5861
Phone (513) 862-4957

7810 5 Mile Rd
Cincinnati, OH 45230-2356
Phone (513) 246-7000

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)26
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC Surgery CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Diagnostic Cardiologists Inc. Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7794 Beechmont Ave
Ste 200
Cincinnati, OH 45255

8240 Northcreek Dr
Cincinnati, OH 45236
Phone (513) 246-5303

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

7794 5 Mile Rd
Ste 270
Cincinnati, OH 45230
Phone (513) 624-7900

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

10506 Montgomery Rd
Ste 209
Montgomery, OH 45242
Phone (513) 794-1601

6200 Pfeiffer Rd
Ste 360
Montgomery, OH 45242
Phone (513) 891-1386

10506 Montgomery Rd
Ste 304
Montgomery, OH 45242
Phone (513) 246-7416

Interoperability endpoints

  • Direct secure messaging: sdonovan33928@direct.trihealth.com

Organizations & group practices 5

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 6

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1760469183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SOLUTIONS CENTER",
            "address_2": "PO BOX 771270",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771002",
            "telephone_number": "513-542-6898",
            "fax_number": "513-542-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 STATE RD",
            "address_2": "STE. 1180",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552800",
            "telephone_number": "513-232-8181",
            "fax_number": "513-624-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "STUART",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35061291",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35061291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000002198",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020034065",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0647990",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836402",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "743188",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "299865",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.