Individual provider Active NPI

David Devorkin, MD

  • Otolaryngology Physician
  • Sugar Land, TX
National Provider Identifier
1477537603
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
H1069 Issued in TX
Practice address
16545 Southwest Fwy
Suite 100
Sugar Land, TX 77479-2891
Phone
(281) 649-7200
Fax
(281) 491-6704
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X H1069 TX Primary

Addresses

Primary practice location

16545 Southwest Fwy
Suite 100
Sugar Land, TX 77479-2891

Mailing address

9494 Southwest Fwy
Suite 850
Houston, TX 77074-1419
Phone (281) 649-7000

Other identifiers 2

IdentifierTypeStateIssuer
TXB166198OtherTXMEDICARE ID - GROUP #
116960902MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Texas PLLC Otolaryngology PastSince Jan 1, 2026 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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1477537603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 SOUTHWEST FWY",
            "address_2": "SUITE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741419",
            "telephone_number": "281-649-7000",
            "fax_number": "713-484-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16545 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792891",
            "telephone_number": "281-649-7200",
            "fax_number": "281-491-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORKIN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - GROUP #",
            "identifier": "TXB166198",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116960902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.