NPIMap

Organization Active NPI

Devoted Medical PA PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1114642683
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DEVOTED MEDICAL PA PC
Practice address
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Oct 7, 2022
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Aracely Courtney
Title
Practice Management
Phone
(866) 849-0692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

100 S Juniper St FL 3
Philadelphia, PA 19107-1316

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other names 1

  • DEVOTED MEDICAL P.C. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dm-practice-management@devoted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230310000903 PA Part B Supplier - Clinic/Group Practice 6608249743 Receives reassigned benefits from 20 practitioners
Practice locations: Sewickley, PA; Pittsburgh, PA; Philadelphia, PA; Mars, PA; Greensburg, PA; Avonmore, PA; Hanover, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1114642683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071316",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED MEDICAL PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "866-849-0692"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dm-practice-management@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 S Juniper St Fl 3",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191071316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DEVOTED MEDICAL P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DEVOTED MEDICAL P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.