KENNETH WAYNE DONOVAN M.D.
NPI 1669447207
Internal Medicine in Essex, CT
About Kenneth Wayne Donovan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WAYNE DONOVAN M.D. (NPI 1669447207) is an individual internal medicine provider in Essex, Connecticut, licensed in Connecticut (042916) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kenneth Wayne Donovan M.d. 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
5Medicare enrollment records show Kenneth Donovan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Essex, CT 06426
- Reassigned Medicare billing, Connecticut enrollment
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 40 clinicians in this Medicare group
Chelsea, MA 02150
- Reassigned Medicare billing, Connecticut enrollment
- 40 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Connecticut enrollment
- 32 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Connecticut and Rhode Island enrollments
- 127 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 2
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 06426 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ESSEX, CT 06426
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 1669447207. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Kenneth Donovan located?
Kenneth Donovan practices at 35 Saybrook Rd Unit 6, Essex, CT 06426. The listed phone number is (860) 358-3725.
What is Kenneth Donovan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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 5 organizations: Mhs Primary Care Inc (Essex, CT), Connecticut Post Acute Medical Services 1 PC (Derby, CT), Ma Pacs 2 PC (Chelsea, MA), Cs Pacs 3 Northeast, LLC (Frederick, MD) and Hospital Medicine Associates LLC (Baton Rouge, LA). 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 Anthem Blue Cross and Blue Shield 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.
When was this NPI record last updated?
The NPPES record for Kenneth Donovan was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kenneth Wayne Donovan, M.D. · NPI 1669447207
Internal Medicine physician in Essex, Connecticut. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1669447207 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 042916 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 35 SAYBROOK RD, UNIT 6, Essex, CT 06426-1490
- **Phone:** (860) 358-3725 · **Fax:** (860) 358-3726
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Mhs Primary Care Inc (NPI 1750276655, Essex, CT); Connecticut Post Acute Medical Services 1 PC (NPI 1558890467, Derby, CT); Ma Pacs 2 PC (NPI 1265918791, Chelsea, MA); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD); Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** December 11, 2025
- **Other identifiers:** Medicaid 001429168 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1669447207) · Data from the CMS NPPES public registry.