Jeremiah Donovan, MD
NPI 1164406500 · Gastroenterology Physician · Duarte, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremiah Donovan, MD is a Gastroenterology Physician provider in Duarte, CA (NPI 1164406500).
Provider details
- NPI number
- 1164406500
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD60692631 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 6235 Anello DrMelbourne, FL 32940Phone: (772) 834-9347
- 222 N 7th StBismarck, ND 58501-4436Phone: (701) 323-6000Fax: (701) 323-5709
- 840 E Hill AveMoses Lake, WA 98837-2238Phone: (509) 663-8711
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Frequently asked questions
- What is Jeremiah Donovan's NPI number?
- Jeremiah Donovan's National Provider Identifier (NPI) is 1164406500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremiah Donovan's specialty?
- Jeremiah Donovan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Jeremiah Donovan located?
- Jeremiah Donovan's practice location on file with NPPES is 1500 Duarte Rd, Duarte, CA 91010-3012.
- What is Jeremiah Donovan's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah Donovan is (626) 256-4673.
- Does Jeremiah Donovan accept Medicare?
- Jeremiah Donovan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremiah Donovan's NPI active?
- Yes — Jeremiah Donovan's NPI (1164406500) is active in the NPPES registry as of the last update on 2023-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.