Paolo Antonio De Belen De Vera, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60136192 Issued in WA

Practice address

7425 Wrigley Dr Ste 101
Pasco, WA 99301-5292

Phone

(509) 546-8399

NPI assigned

Apr 7, 2010

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: paolo.devera.1@18485.direct.athenahealth.com
• Direct secure messaging: pdevera@direct.lmc.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060

  Pediatrics

  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Medical Center

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)
• Nest Children's Clinic PLLC

  • Pediatrics Physician
  • Pasco, WA
  • NPI 1467296160
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Riverview Medical Group

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1184708471
  NPD (past)
• Our Lady of Lourdes Hospital at Pasco

  dba Lourdes Urgent Care Radiology

  • Diagnostic Radiology Physician
  • Pasco, WA
  • NPI 1639503774
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1528383155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-547-7704",
            "fax_number": "509-542-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR STE 101",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-546-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015257",
            "country_code": "US",
            "telephone_number": "509-547-7704",
            "fax_number": "509-542-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "PAOLO ANTONIO",
        "middle_name": "DE BELEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60136192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paolo.devera.1@18485.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7425 Wrigley Dr Ste 101",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993015292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald Eugene Davis, M.D.
• Scott O. Davis, MD
• Stefanie Marie Davis, R.D.
• Michelle Dawson, LMP
• Angela Lynn De la Rosa
• Brian Scott Dean, SWAA
• Stephen M Dechter, DO
• Allyssa Leigh Deems, M.A., CCC-SLP
• Jaileene G. Dejuan, MS/SLP-CCC
• Elma Tirol Deleon, MD

• Pediatrics Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.