NPIMap

Individual provider Active NPI

Mercely Rani Devabavus, M.D

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1164611349
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78188 Issued in FL
Practice address
10425 Spring Hill Dr
Spring Hill, FL 34608-5043
Phone
(352) 666-5665
Fax
(352) 666-5122
NPI assigned
Oct 23, 2007
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78188 FL Primary

Addresses

Primary practice location

10425 Spring Hill Dr
Spring Hill, FL 34608-5043

Mailing address

PO Box 6117
Spring Hill, FL 34611-6117
Phone (352) 666-5665

Other identifiers 1

IdentifierTypeStateIssuer
257212500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080819000812 FL Practitioner - Internal Medicine 7719052182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10425 Spring Hill Dr
Spring Hill, FL 34608-5043
Phone (352) 666-5665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78188FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Trinity Medical Clinic PA Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients

Locations

10425 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 666-5665

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10037/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mdevabavus295976@direct.tgh.org
  • Direct secure messaging: mercely.devabavus.1@10037.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1164611349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6117",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346116117",
            "telephone_number": "352-666-5665",
            "fax_number": "352-666-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085043",
            "telephone_number": "352-666-5665",
            "fax_number": "352-666-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVABAVUS",
        "first_name": "MERCELY",
        "middle_name": "RANI",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257212500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.