Individual provider Active NPI

John P Deveikis, MD

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1124061775
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME103382 Issued in FL
Practice address
603 7TH St S Ste 500
St Petersburg, FL 33701-4734
Phone
(727) 893-6435
Fax
(727) 893-6436
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME103382 FL
Diagnostic Radiology Physician 2085R0202X ME103382 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 500
St Petersburg, FL 33701-4734

Mailing address

603 7TH St S
St Petersburg, FL 33701-4719
Phone (727) 893-6435

Other practice location 1

501 6th Ave S
St Petersburg, FL 33701-4634
Phone (727) 767-3318

Other identifiers 1

IdentifierTypeStateIssuer
002704100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20100327000249 FL Practitioner - Diagnostic Radiology 0941109375 Reassigns benefits to 2 organizations
I20120829000526 AL Practitioner - NeurosurgeryPractitioner - Diagnostic Radiology 0941109375 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103382FLMDDiagnostic Radiology Physician
23660SCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 18, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 8, 2012 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

603 7th St S
Ste 400
St Petersburg, FL 33701
Phone (727) 329-1600

603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442

603 7th St S
St Petersburg, FL 33701
Phone (727) 553-7750

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: jdeveikis303694@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1124061775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-893-6435",
            "fax_number": "727-893-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-893-6435",
            "fax_number": "727-893-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014634",
            "country_code": "US",
            "telephone_number": "727-767-3318",
            "fax_number": "727-767-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEIKIS",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME103382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME103382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002704100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.