JOHN K. DONAHUE MD
NPI 1598797797
Internal Medicine - Clinical Cardiac Electrophysiology in Worcester, MA
About John K. Donahue Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN K. DONAHUE MD (NPI 1598797797) is an individual clinical cardiac electrophysiology provider in Worcester, Massachusetts, licensed in Massachusetts (257122) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Washington University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John K. 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.
Areas of Expertise CMS Part B claims 14
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MASt Vincent Hospital
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 1598797797. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is John Donahue located?
John Donahue practices at 55 Lake Ave N Department Of Cardiology, Worcester, MA 01655. The listed phone number is (508) 334-3452.
What is John Donahue's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
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.
What insurance does John Donahue accept?
Health plans from Anthem Blue Cross and Blue Shield 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.
Is John Donahue affiliated with any hospitals?
According to CMS data, John Donahue is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center, Umass Memorial Medical Center/University Campus and St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for John Donahue was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 K. Donahue, MD · NPI 1598797797
Clinical Cardiac Electrophysiology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1598797797 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **State license:** 257122 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, Worcester, MA 01655-0002
- **Phone:** (508) 334-3452 · **Fax:** (774) 441-7657
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Washington University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** July 2, 2025
- **Other identifiers:** Medicaid 110097208A (MA); Medicaid 2598587 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1598797797) · Data from the CMS NPPES public registry.