Individual provider Active NPI

Jeanine G Devlin, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1356343354
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD072933L Issued in PA
Practice address
7901 Bustleton Ave
Suite 100
Philadelphia, PA 19152-3328
Phone
(215) 742-7890
Fax
(215) 742-7862
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD072933L PA Primary

Addresses

Primary practice location

7901 Bustleton Ave
Suite 100
Philadelphia, PA 19152-3328

Mailing address

12265 Townsend Rd
Ste 500
Philadelphia, PA 19154-1201
Phone (215) 859-1009

Other identifiers 1

IdentifierTypeStateIssuer
0019091350001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100520000479 PA Practitioner - Obstetrics/Gynecology 3971632530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 344-9560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD072933LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician SVCS Obstetrics & Gynecology CurrentSince Aug 19, 2002 Accepting new patients
HR Physician Services Obstetrics & Gynecology Current Accepting new patients
HR Physician Services CurrentSince Aug 19, 2002 Accepting new patients
HR Physician Services Past Accepting new patients
HR Physician Services Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients

Locations

821 Huntingdon Pike
Ste 130
Huntingdon Vy, PA 19006
Phone (215) 543-0060

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

7318 Castor Ave
Philadelphia, PA 19152
Phone (215) 742-7890

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

7901 Bustleton Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 543-0060

Interoperability endpoints

  • Direct secure messaging: jeanine.devlin.1@17399.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1356343354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND RD",
            "address_2": "STE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541201",
            "telephone_number": "215-859-1009",
            "fax_number": "215-698-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BUSTLETON AVE",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523328",
            "telephone_number": "215-742-7890",
            "fax_number": "215-742-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "JEANINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD072933L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019091350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.