Individual provider Active NPI

Ashok Panduranga Devatha, M.D.

  • Family Medicine Physician
  • New Carlisle, OH
National Provider Identifier
1497740328
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-07-3686 D Issued in OH
Practice address
432 N Main St
New Carlisle, OH 45344-1427
Phone
(937) 846-4000
Fax
(937) 846-4004
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-07-3686 D OH Primary

Addresses

Primary practice location

432 N Main St
New Carlisle, OH 45344-1427

Mailing address

432 N Main St
New Carlisle, OH 45344-1427
Phone (937) 846-4000

Other identifiers 1

IdentifierTypeStateIssuer
2059833MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040629001188 OH Practitioner - Family Practice 0648256545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

432 N Main St
New Carlisle, OH 45344-1427
Phone (937) 846-4000

432 N Main St
New Carlisle, OH 45344-1466
Phone (937) 679-4080

Hospital & facility affiliations

  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
89.71 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
65.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honeycreek Urgent Care LLC Family Medicine CurrentSince Oct 21, 2010 Accepting new patients

Locations

432 N Main St
New Carlisle, OH 45344
Phone (937) 845-8454

Interoperability endpoints

  • Direct secure messaging: adevatha44900@direct.bsmhealth.org

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 4

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1497740328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441427",
            "telephone_number": "937-846-4000",
            "fax_number": "937-846-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441427",
            "telephone_number": "937-846-4000",
            "fax_number": "937-846-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVATHA",
        "first_name": "ASHOK",
        "middle_name": "PANDURANGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-07-3686 D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.