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DR. JEREMIAH PAUL DONOVAN MD
NPI 1164406500
Internal Medicine - Gastroenterology in Duarte, CA

Active since November 30, 2005PECOS Enrolled
1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2023, Feb 9, 2023, Apr 5, 2021 and 4 more (7 updates tracked since 2017).

About Dr. Jeremiah Paul Donovan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMIAH PAUL DONOVAN MD (NPI 1164406500) is an individual gastroenterology provider in Duarte, California, licensed in Maine (MD24904) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164406500
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEREMIAH PAUL DONOVANCredential: MD
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing Address6451 N Federal Hwy Ste 800Ft Lauderdale, FL 33308-1409 · (800) 586-5022 · Fax (866) 889-7835
Phone(626) 256-4673
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateMarch 27, 20237 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1164406500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD24904✔ Licensed in WA · MD60692631✔ Licensed in CA · G150240✔ Licensed in FL · ME95167✔ Licensed in ND · 13130
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1500 DUARTE RD, Duarte, CA 91010
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Other Names 1

Professional Name (2)Dr. Jeremiah P. Donovan Md

Secondary Practice Locations 3

Location 1222 N 7th StBismarck, ND 58501-4436 · Phone (701) 323-6000 · Fax (701) 323-5709
Location 2840 E Hill AveMoses Lake, WA 98837-2238 · Phone (509) 663-8711
Location 36235 Anello DrMelbourne, FL 32940 · Phone (772) 834-9347

Other Identifiers 2

Medicaid15201ND
Other37233FL · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremiah Paul Donovan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeremiah Donovan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
2,205 mi
Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1134222532 (239) 334-5244
Collier Hma Physician Management LLC
2,224 mi
Internal Medicine
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 110 clinicians in this Medicare group
NPI 1245282979 (239) 348-4504
Key West Hma Physician Management, LLC
2,282 mi
Internal Medicine
22974 OVERSEAS HWY
Cudjoe Key, FL 33042
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
NPI 1871548651 (305) 872-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASAN FAZELI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
SKAI MINDY FU PHARMD
Pharmacist
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 500-5461
JIMMIE WONG MD
Radiology (Diagnostic Radiology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
TERENCE WILLIAMS M.D.
Radiology (Radiation Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. MUSTAFA RAOOF M.D.
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
DR. EDNA CLOGG SHENVI M.D.
Surgery
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673
ALAN CHEN TANG M.D.
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 359-8111
WINSTON YUHSIEN LEE MD, PHD
Pathology (Hematology)
1500 DUARTE RD
DUARTE, CA 91010
Los Angeles County (626) 256-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Donovan's NPI number?

The NPI number for Jeremiah Donovan is 1164406500. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Dr. Jeremiah P. Donovan MD.

Where is Jeremiah Donovan located?

Jeremiah Donovan practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Jeremiah Donovan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeremiah Donovan enrolled in Medicare?

Yes. Jeremiah Donovan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeremiah Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Donovan reassigns Medicare benefits to 3 organizations: Lee Memorial Health System (Fort Myers, FL), Collier Hma Physician Management LLC (Naples, FL) and Key West Hma Physician Management, LLC (Cudjoe Key, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremiah Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremiah Donovan was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.