DR. EILEEN MARIE DONOVAN (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1730116682

DR. EILEEN MARIE DONOVAN (MD) is a healthcare provider. based in Southfield, Michigan. specializing in Pediatric Rehabilitation Medicine Physician. They hold the professional credentials MD. They hold a License No. 4304065585 (MI). The NPI Number for DR. EILEEN MARIE DONOVAN (MD) is 1730116682

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. EILEEN MARIE DONOVAN (MD)
NPI
1730116682
Phone
(947) 522-1863
Address
26901 BEAUMONT BLVD STE 3D
Enumeration Date
27 June 2006
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867774668
Graduation Year
1995 (31 years ago)
PAC ID
0042361362
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20120120000852

Contacts

Secure Messaging
edonovan111369@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. EILEEN MARIE DONOVAN (MD)

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1863

    Fax: (947) 522-0307

    Type: Mailing

  • 18501 ROTUNDA DR STE 200

    DEARBORN, MI 481243891

    Phone: (313) 996-1960

    Fax: (313) 996-1965

    Type: Location

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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-24

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: 2012-01-20

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
I20120120000852IPhysical Medicine And RehabilitationMITBD

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 48033)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

Is DR. EILEEN MARIE DONOVAN (MD) listed with a National Provider Identifier?
Yes — DR. EILEEN MARIE DONOVAN (MD) has NPI 1730116682 on file in the registry.
Would DR. EILEEN MARIE DONOVAN (MD) appear as active to a payer?
You can treat DR. EILEEN MARIE DONOVAN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. EILEEN MARIE DONOVAN (MD)?
At a glance, DR. EILEEN MARIE DONOVAN (MD) is tied to Pediatric Rehabilitation Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. EILEEN MARIE DONOVAN (MD) registered?
Use Southfield, Michigan as the headline location for DR. EILEEN MARIE DONOVAN (MD) here.
Does DR. EILEEN MARIE DONOVAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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