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JAMES PATRICK DONOVAN MD
NPI 1790345619
Internal Medicine - Infectious Disease in Fountain Hill, PA

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
701 OSTRUM ST STE 103, FOUNTAIN HILL, PA 18015(484) 526-6200 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Patrick Donovan Md NPPES

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

JAMES PATRICK DONOVAN MD (NPI 1790345619) is an individual infectious disease provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD484008) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790345619
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES PATRICK DONOVANCredential: MD
Location Address701 OSTRUM ST STE 103Fountain Hill, PA 18015-1152
Mailing Address701 Ostrum St Ste 103Fountain Hill, PA 18015-1152
Phone(484) 526-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1790345619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in PA · MD484008✔ Licensed in NJ · 25MA12158300
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
701 OSTRUM ST STE 103, Fountain Hill, PA 18015
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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

James Patrick Donovan 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.

PECOS PAC ID8224363700
PECOS Enrollment IDI20240624001536, I20240712002078
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
126 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

JAIMIE MITTAL MD
Internal Medicine (Infectious Disease)
701 OSTRUM ST STE 103
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-6200
CARLY SEDLOCK M.D.
Internal Medicine (Infectious Disease)
701 OSTRUM ST STE 103
FOUNTAIN HILL, PA 18015
Northampton County (845) 266-2004
ST. LUKE'S PHYSICIAN GROUP INC.
Internal Medicine (Infectious Disease)
701 OSTRUM ST STE 103
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-6200
ANA ALDEA D.O.
Internal Medicine (Infectious Disease)
701 OSTRUM ST STE 103
BETHLEHEM, PA 18015
Northampton County (484) 526-4644

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 James Donovan's NPI number?

The NPI number for James Donovan is 1790345619. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is James Donovan located?

James Donovan practices at 701 Ostrum St Ste 103, Fountain Hill, PA 18015. The listed phone number is (484) 526-6200.

What is James Donovan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Donovan enrolled in Medicare?

Yes. James 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.

Is James Donovan affiliated with any hospitals?

According to CMS data, James Donovan is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for James Donovan was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.