Active NPI
Devak Patel, DO, MBA
- Sports Medicine (Family Medicine) Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- DO2024-0131
- Practice address
- 2968 Rodeo Park Dr W Ste 150
Santa Fe, NM 87505-6383 - Phone
- (505) 982-5014
- Fax
- (505) 982-2687
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A21215 | CA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | DO2024-0131 | NM | Primary |
Addresses
Primary practice location
2968 Rodeo Park Dr W Ste 150
Santa Fe, NM 87505-6383
Mailing address
2968 Rodeo Park Dr W Ste 150
Santa Fe, NM 87505-6383
Phone (505) 982-5014
Other practice location 1
45280 Seeley Dr
LA Quinta, CA 92253-6834
Phone (760) 610-7200
Other practice location 2
4 E Clark Bass Blvd
McAlester, OK 74501-4269
Phone (918) 421-6795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2968 Rodeo Park Dr W
150 Christus St Vincent
Santa Fe, NM 87505-6351
Phone (505) 982-5014
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A21215 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Family Medicine | Current | Accepting new patients |
Locations
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
2237 Trinity Dr
Ste B
Los Alamos, NM 87544
Phone (505) 662-8870
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
2968 Rodeo Park Dr W
Ste 150
Santa Fe, NM 87505
Phone (505) 982-5014
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- dpatel428554@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
dba CHRISTUS St. Vincent Pediatrics
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
dba CHRISTUS St. Vincent Health Specialists - Los Alamos
- Surgery Physician
- Los Alamos, NM
- NPI 1942568209
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Espanola Hospital
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
-
dba Presbyterian Santa Fe Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1386133759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 RODEO PARK DR W STE 150",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056383",
"telephone_number": "505-982-5014",
"fax_number": "505-982-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2968 RODEO PARK DR W STE 150",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056383",
"telephone_number": "505-982-5014",
"fax_number": "505-982-2687"
}
],
"practiceLocations": [
{
"address_1": "45280 Seeley Dr",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922536834",
"country_code": "US",
"telephone_number": "760-610-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 E Clark Bass Blvd",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745014269",
"country_code": "US",
"telephone_number": "918-421-6795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "DEVAK",
"name_prefix": "Dr.",
"credential": "DO, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A21215",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NM",
"license": "DO2024-0131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.