JOHN A DONNELLY MD
NPI 1821064064
Internal Medicine in Newark, DE

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
200 HYGEIA DR, UNIT A, NEWARK, DE 19713(302) 623-0100 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John A Donnelly Md NPPES

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

JOHN A DONNELLY MD (NPI 1821064064) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C10006226) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1821064064
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN A DONNELLYCredential: MD
Location Address200 HYGEIA DR, UNIT ANewark, DE 19713-2049
Mailing Address200 Hygeia Dr, Unit ANewark, DE 19713-2049
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1997
Enumeration DateFebruary 27, 2006
Last NPPES UpdateAugust 2, 2011
NPI 1821064064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C10006226
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License C10006226 (DE)
200 HYGEIA DR, Newark, DE 19713

Other Identifiers 3

Medicare UPINH45183DE
Medicare PIN017498C90DE
Medicare ID-Type Unspecified017498C90DE

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 A Donnelly 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 ID7911800610
PECOS Enrollment IDI20040129001110
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 8

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 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.
88 services39 patients
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.
70 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services30 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.
24 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 20

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

Physician Assistant
200 HYGEIA DR
NEWARK, DE 19713
Physical Therapist
200 HYGEIA DR, PT PLUS
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
200 HYGEIA DR, ROOM 2470
NEWARK, DE 19713
Dermatology
200 HYGEIA DR, HEALTH CARE CENTER AT CHRISTIANA
NEWARK, DE 19713
Physical Therapist
200 HYGEIA DR
NEWARK, DE 19713
Family Medicine
200 HYGEIA DR
NEWARK, DE 19713
Nurse Practitioner
200 HYGEIA DR, SUITE 2100
NEWARK, DE 19713
Family Medicine
200 HYGEIA DR, SUITE 2300
NEWARK, DE 19713

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 Donnelly's NPI number?

The NPI number for John Donnelly is 1821064064. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is John Donnelly located?

John Donnelly practices at 200 Hygeia Dr Unit A, Newark, DE 19713. The listed phone number is (302) 623-0100.

What is John Donnelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Donnelly enrolled in Medicare?

Yes. John Donnelly 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 Donnelly accept?

Health plans from AmeriHealth Caritas Next list John Donnelly 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 John Donnelly was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.