Active NPI
Rita S. Devnani, M.D.
- Pediatrics Physician
- Indianapolis, IN
National Provider Identifier
1366517971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- IN01035871
- Practice address
- 5502 E 16TH St Ste A12
Indianapolis, IN 46218-4937 - Phone
- (317) 355-2122
- Fax
- (317) 351-7859
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IN01035871 | IN | Primary |
Addresses
Primary practice location
5502 E 16TH St Ste A12
Indianapolis, IN 46218-4937
Mailing address
5502 E 16TH St Ste A12
Indianapolis, IN 46218-4937
Phone (317) 355-2122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354970 | Medicaid | IN | |
| 0000002261 | Other | IN | ANTHEM LEGACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN01035871 | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1366517971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5502 E 16TH ST STE A12",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184937",
"telephone_number": "317-355-2122",
"fax_number": "317-351-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5502 E 16TH ST STE A12",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184937",
"telephone_number": "317-355-2122",
"fax_number": "317-351-7859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVNANI",
"first_name": "RITA",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "IN01035871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354970",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM LEGACY",
"identifier": "0000002261",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.