Individual provider Active NPI

Karie Lin Devries, MD

  • Obstetrics & Gynecology Physician
  • Newton, MA
National Provider Identifier
1528043999
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
152756 Issued in MA
Practice address
2000 Washington St
Suite 764
Newton, MA 02462-1628
Phone
(617) 965-7800
Fax
(617) 965-4581
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 152756 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 764
Newton, MA 02462-1628

Mailing address

2000 Washington St
Suite 764
Newton, MA 02462-1628
Phone (617) 965-7800

Other identifiers 14

IdentifierTypeStateIssuer
0701334OtherUNITED HEALTHCARE
S023506OtherCHAMPUS
0025501OtherNEIGHBORHOOD HEALTH
043200332OtherSTANDARD TAX ID
37704OtherHEALTHY START
131410OtherHPHC
152756OtherMATUFTS HEALTH PLAN
160057179OtherRAILROAD MEDICARE
B20430403OtherCIGNA
J18034OtherMABCBS
152756OtherTUFTS
3171345MedicaidMA
1643449OtherHEALTHSOURCE MA
2608539OtherAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110425000470 MA Practitioner - Obstetrics/Gynecology 3072798636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellesley Womens Care PCGroup PAC ID 2264478874, 6 clinicians

Practice addresses (Care Compare)

2000 Washington St
Suite 764
Newton, MA 02462-1628
Phone (617) 965-7800

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellesley Women'S Care, PC Obstetrics & Gynecology CurrentSince Mar 3, 1997 Accepting new patients

Locations

2000 Washington St
Ste 764
Newton Lower Falls, MA 02462
Phone (617) 965-7800

Interoperability endpoints

  • Direct secure messaging: devries.karie.wwcare@direct.partners.masshiway.net

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.

Hospital & facility affiliations 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1528043999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621628",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 764",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621628",
            "telephone_number": "617-965-7800",
            "fax_number": "617-965-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "KARIE",
        "middle_name": "LIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "152756",
            "primary": true
        }
    ],
    "identifiers": [
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            "code": "01",
            "desc": "Other (non-Medicare)",
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            "identifier": "0701334",
            "state": null
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            "state": null
        },
        {
            "code": "01",
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            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0025501",
            "state": null
        },
        {
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            "issuer": "STANDARD TAX ID",
            "identifier": "043200332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "37704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "131410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "152756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160057179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20430403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J18034",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "152756",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3171345",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE MA",
            "identifier": "1643449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2608539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.