Veronica O Deyeso, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

50760 Issued in MA

Practice address

261 South St
Pittsfield, MA 01201

Phone

(413) 443-9082

Fax

(413) 443-0361

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA, KY2 enrollments

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 2

Specialty

Gastroenterology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242

  KY

  Medicare reassignment Care Compare group NPD
• Berkshire Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Pittsfield, MA
  • NPI 1184683963
  NPD (past) Authorized official
• Owensboro Health Medical Group, Inc

  • Clinical Medical Laboratory
  • Madisonville, KY
  • NPI 1043343536
  Care Compare group
• Owensboro Health Medical Group, Inc

  • Rural Health Clinic/Center
  • Beaver Dam, KY
  • NPI 1194161984
  Care Compare group
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242
  Care Compare group
• Owensboro Health Medical Group, Inc.

  • Clinical Medical Laboratory
  • Henderson, KY
  • NPI 1609374693
  Care Compare group
• Owensboro Health Medical Group Inc

  • Family Medicine Physician
  • Central City, KY
  • NPI 1083093017
  NPD
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1508967456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016810",
            "telephone_number": "413-443-9082",
            "fax_number": "413-443-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-443-9082",
            "fax_number": "413-443-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYESO",
        "first_name": "VERONICA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "50760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110064823A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "TP806",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6181015",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100461120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon Connor Counseling LLC
• Marjorie Yvonne Devries, M.D
• Shannon Devries, R.D., LDN
• Kim T Dewitt, LICSW
• Matthew Dewolf
• Scott Dezieck, COTA/L
• Paola Di Tolla, MSW, LCSW
• Diamond Dogs Counseling Group PLLC
• Carol F Dickinson, FNP
• Kevin M Dickson

• All providers in Pittsfield, MA
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.