Stuart Devaul, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01042975A Issued in IN

Practice address

5111 Clinton Dr
Kokomo, IN 46902-7136

Phone

(765) 453-8800

Fax

(765) 453-8813

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cep America LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1285103671

  Emergency Medicine, IN

  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  Emergency Medicine, IN

  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1548912553

  Emergency Medicine

  NPD
• Emergency Medicine Group of Kokomo, PC

  • Emergency Medicine Physician
  • Kokomo, IN
  • NPI 1376588152

  Emergency Medicine

  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946

  Emergency Medicine

  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017

  Family Medicine

  NPD (past)
• St. Joseph Primary Care, LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1982736377

  Family Medicine

  NPD (past)
• Mesa Indiana Ed Associates, LLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1003250473

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1255414843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 CLINTON DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027136",
            "telephone_number": "765-453-8800",
            "fax_number": "765-453-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 CLINTON DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027136",
            "telephone_number": "765-453-8800",
            "fax_number": "765-453-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUL",
        "first_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042975",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01042975A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075150E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000525514",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentura LLC
• Brandy Deremiah, RBT
• Beth S Dertz, PT
• Annemarie Paula Desanto, M.D.
• Creation Desautels, LMFT
• Sukhdev Dhindsa, MD
• Macy Dickerson
• John Dietz
• Lauren Dilk, PHARMD
• James Mathew Dillman, DC

• All providers in Kokomo, IN
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.