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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: August 16, 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.

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

Other Identifiers 2

Medicaid15201ND
Other37233FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Jeremiah Donovan accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jeremiah Donovan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.