Individual provider Active NPI

Devan Trammel, D.O.

  • Family Medicine Physician
  • Westhampton Beach, NY
National Provider Identifier
1497141709
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
298405 Issued in NY
Practice address
147 Beach Rd Ste a
Westhampton Beach, NY 11978-1733
Phone
(631) 288-7746
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 298405 NY Primary

Addresses

Primary practice location

147 Beach Rd Ste a
Westhampton Beach, NY 11978-1733

Mailing address

147 Beach Rd Ste a
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190715001768 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5890020754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Merritt B White DO PC Multi-Specialty Past Accepting new patients

Locations

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

147 Beach Rd
Ste A
Westhampton Beach, NY 11978
Phone (631) 288-7746

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: devan.trammelfisher.p3@direct.shproviders.nextgenshare.com
  • Direct secure messaging: devan.trammelfisher.p1@direct.shproviders.nextgenshare.com

Organizations & group practices 2

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 6

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1497141709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BEACH RD STE A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781733",
            "telephone_number": "631-288-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 BEACH RD STE A",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781733",
            "telephone_number": "631-288-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMEL",
        "first_name": "DEVAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "298405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

Verify at the official NPI Registry.