Active NPI
Deirdre V Donaghy, MD
- Cardiovascular Disease Physician
- Newtown, PA
National Provider Identifier
1881661924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD044534E
- Practice address
- 104 Pheasant Run
Ste. 140
Newtown, PA 18940-3439 - Phone
- (215) 860-3344
- Fax
- (215) 860-8950
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD044534E | PA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 25MA06774000 | NJ |
Addresses
Primary practice location
104 Pheasant Run
Ste. 140
Newtown, PA 18940-3439
Mailing address
104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone (215) 860-3344
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014410550001 | Medicaid | PA | |
| 1030775 | Other | PA | KEYSTONE MERCY |
| 688590 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| 0523252000 | Other | PA | KEYSTONE |
| 060045615 | Other | PA | RAILROAD MEDICARE |
Other names 1
- Deirdre V Walsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20090518000334 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 5496743460 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06774000 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Cardiology Consultants | Cardiovascular Disease | 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.
-
- Cardiovascular Disease Physician
- Robbinsville, NJ
- NPI 1619946118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1881661924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 PHEASANT RUN",
"address_2": "SUITE 128",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403439",
"telephone_number": "215-860-3344",
"fax_number": "215-860-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PHEASANT RUN",
"address_2": "STE. 140",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403439",
"telephone_number": "215-860-3344",
"fax_number": "215-860-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAGHY",
"first_name": "DEIRDRE",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD044534E",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA06774000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014410550001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1030775",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA BLUE SHIELD",
"identifier": "688590",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0523252000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060045615",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEIRDRE",
"last_name": "WALSH",
"middle_name": "V",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.