DR. EILEEN MARIE DONOVAN MD
NPI 1730116682
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Dearborn, MI

Q: What is Eileen Donovan's NPI number?

The NPI number for Eileen Donovan is 1730116682. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Eileen Donovan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Donovan was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 27, 2006PECOS Enrolled

18501 ROTUNDA DR STE 200, DEARBORN, MI 48124(313) 996-1960(313) 996-1965 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Eileen Marie Donovan Md NPPES

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

DR. EILEEN MARIE DONOVAN MD (NPI 1730116682) is an individual pediatric rehabilitation medicine provider in Dearborn, Michigan, licensed in Michigan (4304065585) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730116682

Entity TypeIndividualFemale

Primary Taxonomy2081P0010X

Provider Legal NameDR. EILEEN MARIE DONOVANCredential: MD

Location Address18501 ROTUNDA DR STE 200Dearborn, MI 48124-3891

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1863 · Fax (947) 522-0307

Phone(313) 996-1960

Fax(313) 996-1965

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1730116682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in MI · 4304065585

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

18501 ROTUNDA DR STE 200, Dearborn, MI 48124

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Other Identifiers 2

Other4301065585MI · Medical License, Mi

Medicaid4409463MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eileen Marie Donovan Md 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims4,364 services$0.25 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 8

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

MRS. KEVY ELIZABETH NYCEK PT, DPT

Physical Therapist