JOHN P DONAHUE MD
NPI 1164409918
Ophthalmology in Providence, RI
About John P Donahue Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P DONAHUE MD (NPI 1164409918) is an individual ophthalmology provider in Providence, Rhode Island, licensed in Rhode Island (MD10345) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 18
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John P Donahue Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show John Donahue reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02906
- Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
- 15 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Fall River, MA 02720
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1902911563 (Massachusetts)
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02906
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 John Donahue's NPI number?
The NPI number for John Donahue is 1164409918. It was assigned to this individual provider in the NPPES registry on December 22, 2005.
Where is John Donahue located?
John Donahue practices at 150 E Manning St, Providence, RI 02906. The listed phone number is (401) 272-2020.
What is John Donahue's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is John Donahue enrolled in Medicare?
Yes. John Donahue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Donahue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Donahue reassigns Medicare benefits to 3 organizations: Refocus Eye Health Of Ri, LLC (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI) and Center For Eye Health Inc (Fall River, MA). 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 John Donahue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Donahue accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list John Donahue 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 John Donahue was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John P Donahue, MD · NPI 1164409918
Ophthalmology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since December 22, 2005.
## Identity
- **NPI:** 1164409918 (Entity type: Individual)
- **Enumerated:** December 22, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD10345 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 E MANNING ST, Providence, RI 02906-5109
- **Phone:** (401) 272-2020 · **Fax:** (401) 421-5979
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Refocus Eye Health Of Ri, LLC (NPI 1043938772, Providence, RI); Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI); Center For Eye Health Inc (NPI 1922113844, Fall River, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 1994
## Record status
- **NPPES last updated:** May 3, 2012
- **Other identifiers:** Other M17477 (MA); Other 0859 (RI); Other 1566940 (RI); and 15 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164409918) · Data from the CMS NPPES public registry.