BETH M DONNELLY (MD) – Internal Medicine Physician, NPI 1235195207

BETH M DONNELLY (MD) is a healthcare provider. based in Oak bluffs, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 215522 (MA). The NPI Number for BETH M DONNELLY (MD) is 1235195207

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
BETH M DONNELLY (MD)
NPI
1235195207
Phone
(508) 693-0410
Address
1 HOSPITAL ROAD
Enumeration Date
26 April 2006
Last Update Date
5 March 2018

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
508693041079525
Graduation Year
1996 (30 years ago)
PAC ID
3476565912
Group Practice PAC ID
9931166113
Professional Enrollment ID
I20060626000290
Address ID
MA025571406OA1XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for BETH M DONNELLY (MD)

  • Martha's Vineyard Hospital, 1, Hospital Road, Eastville, Oak Bluffs, Dukes County, Massachusetts, 02557, United States

    OAK BLUFFS, MA 025571477

    Phone: (508) 693-0410

    Fax: (508) 693-5971

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2006-06-26

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
I20060626000290IInternal MedicineMATBD

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 02557)

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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: 9931166113View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineNM
Internal MedicineMA
Emergency MedicineRI
Family PracticeME
Emergency MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Psychiatry, NeuropsychiatryMD
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

Is there an official ID for BETH M DONNELLY (MD) in U.S. healthcare records?
The official identifier for BETH M DONNELLY (MD) is NPI 1235195207.
Is there an active status for BETH M DONNELLY (MD)?
For scheduling context, BETH M DONNELLY (MD) is shown as active in the registry.
What kind of doctor is BETH M DONNELLY (MD)?
BETH M DONNELLY (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is BETH M DONNELLY (MD) registered?
Use Oak Bluffs, Massachusetts as the headline location for BETH M DONNELLY (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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