DR. ANDREW M DONOVAN M.D.
NPI 1568458586
Pediatrics in Louisville, KY

Q: What is Andrew Donovan's NPI number?

The NPI number for Andrew Donovan is 1568458586. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Andrew Donovan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Donovan was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 26, 2005PECOS Enrolled

13328 SHELBYVILLE RD, LOUISVILLE, KY 40223(502) 254-2223(502) 254-2525 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, Jan 12, 2021 (2 updates tracked since 2021).

On this page

About Dr. Andrew M Donovan M.d. NPPES

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

DR. ANDREW M DONOVAN M.D. (NPI 1568458586) is an individual pediatrics provider in Louisville, Kentucky, licensed in Indiana (01047227A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568458586

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ANDREW M DONOVANCredential: M.D.

Location Address13328 SHELBYVILLE RDLouisville, KY 40223-3936

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 254-2223

Fax(502) 254-2525

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1568458586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01047227A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

13328 SHELBYVILLE RD, Louisville, KY 40223

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Other Identifiers 4

Medicaid300047045IN

Other351708493IN · Tax Id#

Medicaid200153740AIN

Medicaid7100071770KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew M Donovan M.d. 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

Medicare enrollment records show Andrew Donovan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.

6.2 mi

Multi-Specialty

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1073089850 (502) 588-9490

Norton Children's Medical Group, LLC

6.2 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

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 40223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

THOMPSON AND CHOU CENTER FOR PHYSICAL

Specialist