Josepha Bueno Devaro, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21537 Issued in GA

Practice address

400 Commercial CT
Savannah, GA 31406-3648

Phone

(912) 352-3535

Fax

(912) 352-3485

NPI assigned

Sep 8, 2005

Sex

Female

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 GA

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

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.19 of 100Reported as individual

Quality

64.38

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4

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.

• Coastal Dermatology

  • Dermatology Physician
  • Savannah, GA
  • NPI 1730393455
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1295729051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMERCIAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063648",
            "telephone_number": "912-352-3535",
            "fax_number": "912-352-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMERCIAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063648",
            "telephone_number": "912-352-3535",
            "fax_number": "912-352-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARO",
        "first_name": "JOSEPHA",
        "middle_name": "BUENO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "043567",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "21537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "070013957",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00777004E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Desko, PHARMD
• Destined 4 Greater Consulting & Counseling LLC.
• Destiny Care Inc
• Mugdha Rohidas Devalkar
• John Michael Devaro, M.D.
• Developmental Therapy Associates
• Abby Lee Dew, DDS
• James W Dewberry, M.D.
• Kirk D Dewitt, PAA
• Raegan Dewitt, BCBA

• Dermatology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.