Individual provider Active NPI

Robert S. Devin, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Omaha, NE
National Provider Identifier
1013902386
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
18435 Issued in NE
Practice address
6901 N 72ND St
Omaha, NE 68122-1709
Phone
(402) 572-2225
Fax
(402) 572-4974
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 18435 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Omaha, NE 68122-1709

Mailing address

PO Box 31058
Omaha, NE 68131-0058
Phone (866) 899-7142

Other identifiers 1

IdentifierTypeStateIssuer
00347OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050518001073 NE Practitioner - Emergency Medicine 6305887456
I20240603003417 MN Practitioner - Emergency Medicine 6305887456 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18435NEMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health - Redwood LLC CurrentSince May 10, 2024 Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
CCM Health Current Accepting new patients
Redwood Area Hospital Current Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
Carris Health - Redwood LLC CurrentSince May 10, 2024 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Omaha Emergency Physicians PC Emergency Medical Services Past Accepting new patients

Locations

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

Interoperability endpoints

  • Direct secure messaging: rdevin804868@direct.centracare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1013902386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31058",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310058",
            "telephone_number": "866-899-7142",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2225",
            "fax_number": "402-572-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIN",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NE",
            "license": "18435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.