Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Edwin Donovan

Individual provider Family Medicine Physician · NPI 1215433230

Samuel Edwin Donovan is a Family Practice in Pawtucket, Rhode Island. Graduated from University of Rochester School of Medicine and Dentistry in 2018, 8 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
8
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
RI
In the registry since
2018
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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860
Phone: (401) 729-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LP04395 (RI)

Record details

NPI number1215433230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJuly 6, 2018
Mailing address304 School St, Watertown, MA 02472-1415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2018 (8 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pawtucket