Devan Louis Depauw, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

090689 Issued in IA

Practice address

1227 East Rusholme St.
Davenport, IA 52803

Phone

(563) 421-1000

NPI assigned

Jan 26, 2018

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80.57 of 100Reported as group

Quality

71.8

Improvement activities

40

Cost

80.85

Merit-based Incentive Payment System (MIPS)

Final score

34.85 of 100Reported as group

Quality

21.4

Improvement activities

0

Cost

76.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901
  Medicare reassignment NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1679521124
  Medicare reassignment NPD
• Johnson County Emergency Medicine, PLC

  • Emergency Medicine Physician
  • Iowa City, IA
  • NPI 1316582729
  Medicare reassignment
• Vituity-Iowa PLLC

  • Emergency Medicine Physician
  • Davenport, IA
  • NPI 1437932928
  Medicare reassignment
• Vituity-Iowa PLLC

  • Emergency Medicine Physician
  • Bettendorf, IA
  • NPI 1871378752
  NPD
• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  NPD

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1558869321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 EASTERN AVE. P2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "309-945-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 EAST RUSHOLME ST.",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-421-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUW",
        "first_name": "DEVAN",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "090689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah F Delorme
• Joel A Dembosky II, PHARMD
• Kimberly E Denman, RD, LD
• Charles Grant Dennehey
• Kaitlynn Ruth Dennis, RN
• Kayla Depoorter
• Stephen P Deporter, APN
• Candace D Desmet
• Kelsey Dever, DDS
• Teri A. Devine, ARNP

• Medical Physician Assistant in Davenport, IA
• Providers in Davenport, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.