TEGAN DONNELLEY MD
NPI 1992324503
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 14, 2020Opted out of Medicare · through Sep 3, 2026
525 E 68TH ST, NEW YORK, NY 10065(212) 746-5454 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tegan Donnelley Md NPPES

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

TEGAN DONNELLEY MD (NPI 1992324503) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020. She has opted out of Medicare through September 3, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992324503
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTEGAN DONNELLEYCredential: MD
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address525 E 68th St Fl 11New York, NY 10065-4870
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1992324503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
525 E 68TH ST, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tegan Donnelley Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2024 through September 3, 2026.

Opt-Out Effective DateSeptember 3, 2024
Opt-Out In Effect ThroughSeptember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Surgery
525 E 68TH ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
Specialist
525 E 68TH ST
NEW YORK, NY 10065
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065

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 Tegan Donnelley's NPI number?

The NPI number for Tegan Donnelley is 1992324503. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Tegan Donnelley located?

Tegan Donnelley practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-5454.

What is Tegan Donnelley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tegan Donnelley enrolled in Medicare?

No. Tegan Donnelley has opted out of Medicare through September 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tegan Donnelley was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.