Carl David Devemark, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

S2015 Issued in TX

Practice address

10201 Gateway Blvd W Ste 130
El Paso, TX 79925-7647

Phone

(915) 594-1000

Fax

(915) 594-1007

NPI assigned

May 12, 2014

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Trauma Medical Group, PLLCGroup PAC ID 2769862044, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.devemark@hca8.eclinicaldirectplus.com
• Direct secure messaging: 26429-devemark-carl@direct.leadingreach.com
• Direct secure messaging: carl.devemark@direct.myhealthep.org

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.

• Texas Trauma Medical Group, PLLC

  • Trauma Surgery Physician
  • El Paso, TX
  • NPI 1962144618
  Medicare reassignment Care Compare group NPD
• El Paso Healthcare System LTD

  dba Las Palmas del Sol Healthcare

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Healthcare System LTD

  dba Las Palmas del Sol Healthcare

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1275944399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W STE 130",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257647",
            "telephone_number": "915-594-1000",
            "fax_number": "915-594-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W STE 130",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257647",
            "telephone_number": "915-594-1000",
            "fax_number": "915-594-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Gateway Blvd W Ste 130",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257647",
            "country_code": "US",
            "telephone_number": "915-594-1000",
            "fax_number": "915-594-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEMARK",
        "first_name": "CARL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dessence Healthcare Services Inc
• Jeanna Deswert
• Dwight M Deter, PA-C
• Katrina Deutcher, R.B.T.
• Developmental Behavioral Pediatrics of El Paso
• Mirelle Elizabeth Devenney
• Cecilia Isabel Devine
• Diana Ivette Devora, COTA
• Devoted Personal Care Services
• Ritwik Dey

• Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.