Active NPI
Devoted Medical Group Professional Corporation
- Primary Care Clinic/Center
- Pembroke Pines, FL
National Provider Identifier
1245838168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION
- Practice address
- 880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171 - Phone
- (866) 849-0692
- NPI assigned
- Oct 13, 2020
- Last updated
- Jan 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neil Wagle, MD
- Title
- Cmo
- Phone
- (617) 256-6666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dm-practice-management@devoted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL, OR, CO, TN, WA, KY, MS, AR, IN, GA, LA
Enrollment records 12
National Provider Directory
National Provider DirectoryLocations
16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431
2801 SW 149th Ave
Ste 100
Miramar, FL 33027
880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (813) 498-0260
3200 West End Ave
Nashville, TN 37203
Phone (615) 946-3379
Practitioners & affiliated clinicians
Practitioners 249
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.
-
- Acute Care Nurse Practitioner
- Pembroke Pines, FL
- NPI 1396269734
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1770944456
-
- Nurse Practitioner
- Pembroke Pines, FL
- NPI 1245599406
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Pembroke Pines, FL
- NPI 1528395019
Single Specialty, TN
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1033551247
TN
-
- Nurse Practitioner
- Pembroke Pines, FL
- NPI 1700281805
-
- Nurse Practitioner
- Lakeland, FL
- NPI 1821536210
-
- Primary Care Nurse Practitioner
- Jacksonville, FL
- NPI 1972087682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735862400000",
"number": "1245838168",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SW 145TH AVE STE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276171",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVOTED MEDICAL GROUP PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "WAGLE",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "617-256-6666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"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": "880 SW 145th Ave Ste 202",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330276171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pembroke Pines, FL
- Deveaux Group Incorporated (A Joyful Heart Senior Services)
- Corlette Deveaux
- Developmental Pediatric Therapy Center, LLC
- Claudia Patricia Devia Moreno, BCBA
- Devjohn Medical Incorporated (A Joyful Heart Senior Services)
- Tamara Alexis Dewar
- Dezard Services LLC (Affordable Medical Supply)
- DG Loving Hands Home Healthcare LLC
- Sonia Dhanjal, PHARM. D
- Paul D Di Capua, MD, MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.