NPIMap

Individual provider Active NPI

Arun K Devakonda, MD

  • Pulmonary Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1083873848
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26272 Issued in OK
Practice address
4221 S Western Ave Ste 4005
Oklahoma City, OK 73109-3436
Phone
(405) 644-5040
Fax
(405) 644-5039
NPI assigned
Jun 6, 2008
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 26272 OK
Pulmonary Disease Physician 207RP1001X 26272 OK Primary

Addresses

Primary practice location

4221 S Western Ave Ste 4005
Oklahoma City, OK 73109-3436

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 644-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000114 OK Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2264591742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

4221 S Western
3010 Southwest Rehab
Oklahoma City, OK 73109-3492
Phone (405) 636-7452

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26272OKMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jul 15, 2008 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Associates Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4221 S Western Ave
Ste 3010
Oklahoma City, OK 73109
Phone (405) 636-7450

4221 S Western Ave
Ste 4005
Oklahoma City, OK 73109
Phone (405) 644-5040

4221 S Western Ave
Ste 5045
Oklahoma City, OK 73109
Phone (405) 632-4252

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: adevakonda15070@direct.integrisok.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Southwest Medical CenterOklahoma City, OK, CCN 370106 Hospital Corporate Director Jul 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1083873848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-644-5040",
            "fax_number": "405-644-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 4005",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093436",
            "telephone_number": "405-644-5040",
            "fax_number": "405-644-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAKONDA",
        "first_name": "ARUN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "26272",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "26272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.