Individual provider Active NPI

Devak Patel, DO, MBA

  • Sports Medicine (Family Medicine) Physician
  • Santa Fe, NM
National Provider Identifier
1386133759
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO2024-0131 Issued in NM
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102000307 NM Practitioner - Sports MedicinePractitioner - Family Practice 1557898657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
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
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

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

LicenseStateTypeSpecialty
20A21215CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital Current Accepting new patients
St. Vincent Hospital CurrentSince Nov 15, 2024 Accepting new patients
St. Vincent Hospital Family Medicine CurrentSince Nov 15, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.