DR. JEREMIAH PAUL DONOVAN (MD) – Gastroenterology Physician, NPI 1164406500
Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JEREMIAH PAUL DONOVAN (MD)
6235 ANELLO DR
MELBOURNE, FL 329401324
Phone:
Type: Mailing
820 N CHELAN AVE
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
840 E HILL AVE
MOSES LAKE, WA 988372238
Phone: (509) 663-8711
Type: Location
222 N 7th St
Bismarck, ND 585014436
Phone: (701) 323-6000
Fax: (701) 323-5709
Type: Location
6235 Anello Dr
Melbourne, FL 32940
Phone: (772) 834-9347
Type: Location
840 E Hill Ave
Moses Lake, WA 988372238
Phone: (509) 663-8711
Type: Location
6451 N FEDERAL HWY STE 800
FT LAUDERDALE, FL 333081409
Phone: (800) 586-5022
Fax: (866) 889-7835
Type: Mailing
1500 DUARTE RD
DUARTE, CA 910103012
Phone: (626) 256-4673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060309000209 | I | Gastroenterology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32940)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NY | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Orthopedic Surgery | WA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | WA | |
| Internal Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.