Active NPI
Bishnu P Devkota, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1508905183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15547R
- Practice address
- 3691 Rutger St
Saint Louis, MO 63110-2515 - Phone
- (314) 977-6828
- Fax
- (314) 977-6777
- NPI assigned
- Feb 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15547R | LA | Primary |
Addresses
Primary practice location
3691 Rutger St
Saint Louis, MO 63110-2515
Mailing address
2325 Dougherty Ferry Rd
Suite 100
Saint Louis, MO 63122-3356
Phone (314) 977-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1476056 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15547R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1508905183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 DOUGHERTY FERRY RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223356",
"telephone_number": "314-977-9600",
"fax_number": "314-977-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 RUTGER ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102515",
"telephone_number": "314-977-6828",
"fax_number": "314-977-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVKOTA",
"first_name": "BISHNU",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "15547R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1476056",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.