KENNETH WAYNE DONOVAN (M.D.) – Internal Medicine Physician, NPI 1669447207

KENNETH WAYNE DONOVAN (M.D.) is a healthcare provider. based in Middletown, Connecticut. specializing in INTERNAL MEDICINE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. 042916 (CT). The NPI Number for KENNETH WAYNE DONOVAN (M.D.) is 1669447207

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH WAYNE DONOVAN (M.D.)
NPI
1669447207
Phone
(860) 358-6000
Address
28 CRESCENT ST
Enumeration Date
17 February 2006
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8604420711
Graduation Year
1997 (29 years ago)
PAC ID
4981653714
Group Practice PAC ID
9234156985
Professional Enrollment ID
I20050119000079
Address ID
CT063204700NE365XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

Provider Addresses for KENNETH WAYNE DONOVAN (M.D.)

  • 28 CRESCENT ST

    MIDDLETOWN, CT 064573654

    Phone: (860) 358-6000

    Fax: (860) 358-8661

    Type: Mailing

  • 35 SAYBROOK RD

    UNIT 6

    ESSEX, CT 064261490

    Phone: (860) 358-3725

    Fax: (860) 358-3726

    Type: Location

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, New London, New London County, Connecticut, 06320, United States

    ROOM 4.512

    NEW LONDON, CT 063204700

    Phone: (860) 442-0711

    Fax: (860) 444-5114

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($55).

Total Amount

$55

General + Research + Ownership

Payments

1

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050119000079IInternal MedicineCTTBD
I20080318000712IInternal MedicineRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6462$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5023$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2319$0
99291Critical care, first 30-74 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234156985View full group profile
NameSpecialtyState
Internal MedicineAL
-TN
Internal MedicineAL
Nurse PractitionerAL
Internal MedicineIL
Infectious Disease, Internal MedicineCT
Nurse PractitionerAL
Internal MedicineCT
-CT
-AL

Reviews

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Frequently asked questions

What NPI should I save for KENNETH WAYNE DONOVAN (M.D.)?
Save NPI 1669447207 if you need a stable reference for KENNETH WAYNE DONOVAN (M.D.).
Is KENNETH WAYNE DONOVAN (M.D.) currently active in the NPI registry?
CMS-published data lists KENNETH WAYNE DONOVAN (M.D.) as an active registrant.
What field does KENNETH WAYNE DONOVAN (M.D.) work in?
You can think of KENNETH WAYNE DONOVAN (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KENNETH WAYNE DONOVAN (M.D.) practice in Connecticut?
You will see Middletown, Connecticut on file for KENNETH WAYNE DONOVAN (M.D.) alongside any extra practice locations.
What if Middletown, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.