Pavan Devulapally, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P9550 Issued in TX

Practice address

4511 NW Loop 410
Suite 104
San Antonio, TX 78229-5124

Phone

(210) 614-7900

Fax

(210) 615-1211

NPI assigned

Feb 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

NephrologyAlso: Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC MED CENTER Dialysis Dialysis facility, San Antonio, TX, CCN 672812
• USRC Datapoint Dialysis Dialysis facility, San Antonio, TX, CCN 742577
• Usrc San Antonio Home Therapies Dialysis facility, San Antonio, TX, CCN 672718
• Elegant Hospice Hospice, San Antonio, TX, CCN 971573
• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Medina Regional Hospital Hospital, Hondo, TX, CCN 451330
• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pavan.devulapally@strcg.eclinicaldirectplus.com

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.

• M. Reza Mizani, M.D., P.a.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1275503393

  Nephrology, TX

  Medicare reassignment Care Compare group NPD
• M. Reza Mizani, M.D., P.a.

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
  • NPI 1740700111
  Care Compare group NPD
• M. Reza Mizani, M.D., P.a.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1497813331

  Nephrology

  NPD (past)

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

• Usrc Medical Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Antonio, TX
  • NPI 1609261031

  Dialysis facility

  Care Compare affiliation Name & address match
• Usrc San Antonio Home Therapies, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Antonio, TX
  • NPI 1982963039

  Dialysis facility

  Care Compare affiliation Name & address match
• Elegant Hospice Care LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1548724446

  Hospice

  Care Compare affiliation
• Medina County Hospital District

  • Critical Access Hospital
  • Hondo, TX
  • NPI 1427048453

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021

  Hospital

  Care Compare affiliation
• Sid Peterson Memorial Hospital

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704

  Hospital

  Care Compare affiliation
• VHS San Antonio Partners LLC

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1306085477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504152",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504152",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 NW LOOP 410",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295124",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 22nd St",
            "address_purpose": "LOCATION",
            "city": "Hondo",
            "state": "TX",
            "postal_code": "788612520",
            "country_code": "US",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19910 Interstate 35 S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lytle",
            "state": "TX",
            "postal_code": "780523547",
            "country_code": "US",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVULAPALLY",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9550",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P9550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337482901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devoted Care Hospice, Inc.
• Devoted Primary Care, LLC
• Rachel Louise Devoto, BSN, MSN, CRNA
• Devout Home Health, Inc.
• Lindsay Beth Baker Devries, M.D.
• Dasha Alexandra Dewberry, DO
• Kristeena Dewberry, LPC
• Jenifer Deweese Menzel
• Joseph Deweese, NP
• Kaitlyn Deweese, RBT

• All providers in San Antonio, TX
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.