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DR. LYDIA JOY DONOGHUE MD
NPI 1730324096
Surgery - Pediatric Surgery in Detroit, MI

Active since December 15, 2008PECOS Enrolled
3901 BEAUBIEN ST, DEPT OF PEDIATRIC SURGERY, DETROIT, MI 48201(313) 831-3220(313) 745-0747 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lydia Joy Donoghue Md NPPES

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

DR. LYDIA JOY DONOGHUE MD (NPI 1730324096) is an individual pediatric surgery provider in Detroit, Michigan, licensed in Michigan (4301077977) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730324096
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. LYDIA JOY DONOGHUECredential: MD
Location Address3901 BEAUBIEN ST, DEPT OF PEDIATRIC SURGERYDetroit, MI 48201-2119
Mailing Address8234 John RDetroit, MI 48202-2506 · (248) 219-5620
Phone(313) 831-3220
Fax(313) 745-0747
Sole ProprietorNo
Enumeration DateDecember 15, 2008
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1730324096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in MI · 4301077977✔ Licensed in OH · 35095454
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

3901 BEAUBIEN ST, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 4

Other00000674254OH · Anthem
Other07021OH · Paramount
Medicaid3044351OH
Other9244570OH · Aetna

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. Lydia Joy Donoghue 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.

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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414
KELLY HOLZHAUSEN
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (734) 552-5323

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 Lydia Donoghue's NPI number?

The NPI number for Lydia Donoghue is 1730324096. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Lydia Donoghue located?

Lydia Donoghue practices at 3901 Beaubien St Dept Of Pediatric Surgery, Detroit, MI 48201. The listed phone number is (313) 831-3220.

What is Lydia Donoghue's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Lydia Donoghue enrolled in Medicare?

Yes. Lydia Donoghue is registered in the Medicare PECOS enrollment system.

What insurance does Lydia Donoghue accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Lydia Donoghue 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 Lydia Donoghue was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.