BRANNON SHEA DONOVAN (MD) – Rheumatology Physician, NPI 1225667231

BRANNON SHEA DONOVAN (MD) is a healthcare provider. based in Wichita, Kansas. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-51398 (KS). The NPI Number for BRANNON SHEA DONOVAN (MD) is 1225667231

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BRANNON SHEA DONOVAN (MD)
NPI
1225667231
Phone
(316) 612-4815
Address
13205 W 21ST CT N
Enumeration Date
2 April 2020
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
3166124815
Graduation Year
2020 (6 years ago)
PAC ID
0143644294
Group Practice PAC ID
6800881194
Professional Enrollment ID
I20250814001389
Address ID
KS672359625WI13205NXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

50 RHEUMATOLOGY in KS

Provider Addresses for BRANNON SHEA DONOVAN (MD)

  • 13205 W 21ST CT N

    WICHITA, KS 672359625

    Phone: (316) 612-4815

    Fax: (316) 612-4825

    Type: Mailing

  • 1921 N Webb Rd

    Wichita, KS 672063405

    Phone: (316) 612-4815

    Fax: (316) 612-4825

    Type: Location

  • 3901 RAINBOW BLVD # MS 2027

    KANSAS CITY, KS 661608500

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $499.

Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($499).

Total Amount

$499

General + Research + Ownership

Payments

6

Total payment records

General Amount

$499

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$499
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: 2025-08-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250814001389IInternal MedicineKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67235)

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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: 6800881194View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Rheumatology, Internal MedicineKS
-KS
Physician AssistantKS
R H E U M A T O L O G YKS
Physician AssistantKS
Rheumatology, Internal MedicineKS
Physician AssistantKS
Rheumatology, Internal MedicineNE
Rheumatology, Internal MedicineKS

Reviews

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Frequently asked questions

How do I look up BRANNON SHEA DONOVAN (MD) by NPI?
Use NPI 1225667231 when you need to reference BRANNON SHEA DONOVAN (MD) in forms, claims, or directories.
Is BRANNON SHEA DONOVAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRANNON SHEA DONOVAN (MD) list a primary specialty?
If you are matching referrals, note Rheumatology Physician for BRANNON SHEA DONOVAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place BRANNON SHEA DONOVAN (MD)?
The snapshot lists Wichita, Kansas for BRANNON SHEA DONOVAN (MD); download NPPES for the complete set.
How can I contact BRANNON SHEA DONOVAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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