NPIMap

Individual provider Active NPI

Kevin Michael Donovan, DO

  • Family Medicine Physician
  • Dover, NH
National Provider Identifier
1801958186
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12099 Issued in NH
Practice address
10 Members Way Ste 201
Dover, NH 03820-5933
Phone
(603) 742-2263
Fax
(603) 740-7116
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12099 NH Primary

Addresses

Primary practice location

10 Members Way Ste 201
Dover, NH 03820-5933

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (603) 742-2263

Other identifiers 1

IdentifierTypeStateIssuer
3077131MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000767 NH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8628968534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

10 Members Way
201 Adult and Children S Med
Dover, NH 03820-5933
Phone (603) 742-2263

Hospital & facility affiliations

  • Cornerstone Vna Home health agency, Rochester, NH, CCN 307022
  • Wentworth Home Care & Hospice, an Amedisys Partner Home health agency, Somersworth, NH, CCN 307014
  • Cornerstone Vna Hospice, Rochester, NH, CCN 301530
  • Wentworth Home Care & Hospice, an Amedisys Partner Hospice, Somersworth, NH, CCN 301512
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 10, 2021 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 10, 2021 Accepting new patients
Wentworth Douglass Physician Corporation Family Medicine Current Accepting new patients
Frisbie Health Services Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

10 Members Way
Ste 201
Dover, NH 03820
Phone (603) 205-2823

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

Interoperability endpoints

  • Direct secure messaging: donovan.kevin.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 10

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1801958186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "603-742-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 201",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-2263",
            "fax_number": "603-740-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077131",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.