SAMUEL P DONEGAN MD NPI 1710989322

NPI Information

  • NPI: 1710989322
  • Provider Name: SAMUEL P DONEGAN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 830 OAK STREET
    SUITE 223E
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 427-2222

Map and Directions

Get Directions

NPI Details

Samuel P Donegan, MD is an obstetrics gynecology in Brockton, MA with 44 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Samuel P Donegan, MD NPI is 1710989322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year:1981

The provider's business location address is:

830 OAK STREET
SUITE 223E
BROCKTON, MA
ZIP 02301
Phone: (508) 427-2222
Fax: (508) 897-4773

The NPI 1710989322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 8/12/2005 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyD0068818MARYLANDNo
2207V00000XObstetrics & Gynecology56194MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1152599ZEZTOTHERMARYLANDMEDICARE PTAN
2022452900MEDICAIDMARYLAND
3165767OTHERMARYLANDMEDICARE GROUP PTAN
4110043227AMEDICAIDMASSACHUSETTS
5950201OTHERMARYLANDCAREFIRST RENDERING NUMBER
6Q818-0019OTHERCAREFIRST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI