NPIMap

Individual provider Active NPI

Kerry Michael Donegan, MD

  • Orthopaedic Surgery Physician
  • Grapevine, TX
National Provider Identifier
1972509412
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G9848 Issued in TX
Practice address
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone
(817) 481-2121
Fax
(817) 488-4493
NPI assigned
Jun 21, 2005
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G9848 TX Primary

Addresses

Primary practice location

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Mailing address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone (817) 481-2121

Other practice location 1

4501 Heritage Trace Parkway, Suite 101
Fort Worth, TX 76244-8940
Phone (817) 481-2121

Other identifiers 2

IdentifierTypeStateIssuer
135607305MedicaidTX
82X721OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100203000454 TX Practitioner - Orthopedic Surgery 5597808295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Wisconsin School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

2535 Ira E Woods Ave
100 N Texas Ortho
Grapevine, TX 76051-3930
Phone (817) 221-0084

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.54 of 100Reported as group
Quality
92.07
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9848TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nto Physician Partners, PLLC Orthopaedic Surgery CurrentSince Aug 23, 1986 Accepting new patients
Nto Physician Partners, PLLC Orthopaedic Surgery CurrentSince Aug 23, 1986 Accepting new patients
Orthotx, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Orthotx, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Texas Health Orthopedic Surgery Center Alliance, LLC PastSince Sep 1, 2018 Accepting new patients

Locations

701 Highlander Blvd
#370
Arlington, TX 76015

800 Orthopedic Way
Arlington, TX 76015
Phone (817) 375-5375

4501 Heritage Trace Pkwy
#101N
Fort Worth, TX 76244
Phone (817) 481-2121

4501 Heritage Trace Pkwy
Ste 101
Fort Worth, TX 76244
Phone (817) 221-0084

2535 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 481-2121

2535 Ira E Woods Ave
#100
Grapevine, TX 76051
Phone (817) 221-0084

2535 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 481-2121

2423 W Airport Fwy
Irving, TX 75062
Phone (817) 375-5312

1441 S Midlothian Pkwy
Ste 130
Midlothian, TX 76065

Interoperability endpoints

  • Direct secure messaging: kdonegan@ntxortho.gwaydirect.com
  • Direct secure messaging: kerry.donegan.1@18148.direct.athenahealth.com
  • Direct secure messaging: kerry.donegan.1@20300.direct.athenahealth.com
  • Direct secure messaging: kerry.donegan.2@15749.direct.athenahealth.com

Organizations & group practices 7

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 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1972509412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Heritage Trace Parkway, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448940",
            "country_code": "US",
            "telephone_number": "817-481-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONEGAN",
        "first_name": "KERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G9848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135607305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82X721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.