Individual provider Active NPI

Kristina Janssen Donovan, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Huntsville, AL
National Provider Identifier
1780856013
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
DO.1109 Issued in AL
Practice address
4715 Whitesburg Drive
Sportsmed Orthopaedic Surgery and Spine Center
Huntsville, AL 35802
Phone
(256) 881-5151
NPI assigned
Mar 26, 2008
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X DO.1109 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4715 Whitesburg Drive
Sportsmed Orthopaedic Surgery and Spine Center
Huntsville, AL 35802

Mailing address

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone (256) 881-5151

Other names 1

  • Kristina Louise Janssen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120910000116 AL Practitioner - Physical Medicine and Rehabilitation 2466600846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1109ALMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Aug 1, 2012 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Aug 1, 2012 Accepting new patients

Locations

22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607

2506 Danville Rd SW
Ste 202
Decatur, AL 35603
Phone (256) 306-0800

5850 Highway 53
Unit 12
Harvest, AL 35749
Phone 25631985109618

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

7242 Bailey Cove Rd SE
Huntsville, AL 35802
Phone (205) 478-4418

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

3101 Mountain Cove Dr
Ste B
Owens Cross Roads, AL 35763
Phone (256) 704-4261

Organizations & group practices 2

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 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1780856013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DRIVE",
            "address_2": "SPORTSMED ORTHOPAEDIC SURGERY AND SPINE CENTER",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35802",
            "telephone_number": "256-881-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KRISTINA",
        "middle_name": "JANSSEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "DO.1109",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "JANSSEN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.