DR. KENNETH JAMES DONOVAN D.P.M
NPI 1588804132
Podiatrist - Foot & Ankle Surgery in Warren, NJ

Q: What is Kenneth Donovan's NPI number?

The NPI number for Kenneth Donovan is 1588804132. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Q: What is Kenneth Donovan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Donovan was last updated on February 3, 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 February 23, 2009PECOS EnrolledAccepts Medicare Assignment

9 MOUNT BETHEL RD, SUITE 9, WARREN, NJ 07059(908) 605-0799(908) 450-1558 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Kenneth James Donovan D.p.m NPPES

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

DR. KENNETH JAMES DONOVAN D.P.M (NPI 1588804132) is an individual foot & ankle surgery provider in Warren, New Jersey, licensed in New Jersey (25MD00302600) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588804132

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KENNETH JAMES DONOVANCredential: D.P.M

Location Address9 MOUNT BETHEL RD, SUITE 9Warren, NJ 07059-5603

Mailing Address9 Mount Bethel Rd, Suite 9Warren, NJ 07059-5603 · (908) 605-0799 · Fax (908) 450-1558

Phone(908) 605-0799

Fax(908) 450-1558

Sole ProprietorYes

Medical School CMSTemple University School Of Podiatric MedicineGraduated 2007

Enumeration DateFebruary 23, 2009

Last NPPES UpdateFebruary 3, 2024

NPPES CertifiedFebruary 3, 2024

✔ NPI 1588804132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NJ · 25MD00302600

9 MOUNT BETHEL RD, Warren, NJ 07059

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1930 Folly Rd Ste DCharleston, SC 29412-3938 · Phone (843) 606-0019 · Fax (843) 604-0566

Location 2104 Commons Way Bldg AToms River, NJ 08755-6426 · Phone (732) 349-1123 · Fax (732) 349-6549

Location 3200 S Orange Ave Ste 107Livingston, NJ 07039-5817 · Phone (908) 605-0799 · Fax (908) 450-1558

Other Identifiers 1

Medicaid0231622NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Dr. Kenneth James Donovan D.p.m 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.

PECOS PAC ID6305038118

PECOS Enrollment IDI20101012001158, I20220912001142

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

Kenneth Donovan DPM LLC

Same address

Foot & Ankle Surgery

9 MOUNT BETHEL RD, SUITE 209
Warren, NJ 07059

Reassigned Medicare billing, New Jersey enrollment
9 clinicians in this Medicare group

NPI 1417229493 (908) 605-0799

Advanced Care Foot And Ankle LLC

623 mi

Foot & Ankle Surgery

930 FOLLY RD STE D
Charleston, SC 29412

Reassigned Medicare billing, South Carolina enrollment

NPI 1255085072 (843) 606-0019

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 19

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.

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

357 services153 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

331 services135 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

327 services134 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

313 services133 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

148 services148 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

141 services74 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

83 services32 patients

Removal of fingernails or toenails, 6 or more nails 11721

73 services25 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

57 services57 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

53 services18 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

49 services20 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

48 services21 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

32 services12 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

31 services25 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

31 services24 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

25 services20 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11306

This procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.

20 services18 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

20 services19 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier16 claims32 services$59.17 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier16 claims92 services$25.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KENNETH DONOVAN DPM LLC

Podiatrist (Foot & Ankle Surgery)

9 MOUNT BETHEL RD, SUITE 209
WARREN, NJ 07059

Somerset County (908) 605-0799

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 Kenneth Donovan's NPI number?

The NPI number for Kenneth Donovan is 1588804132. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Kenneth Donovan located?

Kenneth Donovan practices at 9 Mount Bethel Rd Suite 9, Warren, NJ 07059. The listed phone number is (908) 605-0799.

What is Kenneth Donovan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kenneth Donovan enrolled in Medicare?

Yes. Kenneth Donovan 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 Kenneth Donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Donovan reassigns Medicare benefits to 2 organizations: Kenneth Donovan DPM LLC (Warren, NJ) and Advanced Care Foot And Ankle LLC (Charleston, SC). 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 Kenneth Donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Donovan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Kenneth 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.

Is Kenneth Donovan affiliated with any hospitals?

According to CMS data, Kenneth Donovan is affiliated with Roper Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Donovan was last updated on February 3, 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.