Individual provider Active NPI

Sheila S Devanesan, M.D.

  • Obstetrics & Gynecology Physician
  • St Petersburg, FL
National Provider Identifier
1629053517
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0080990 Issued in FL
Practice address
5959 Central Ave Ste 200
St Petersburg, FL 33710-8502
Phone
(727) 727-6060
Fax
(727) 767-5586
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 ME0080990 FL Primary

Addresses

Primary practice location

5959 Central Ave Ste 200
St Petersburg, FL 33710-8502

Mailing address

5959 Central Ave Ste 200
St Petersburg, FL 33710-8502
Phone (727) 727-6060

Other identifiers 1

IdentifierTypeStateIssuer
261926100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100420000968 FL Practitioner - Obstetrics/Gynecology 0648307876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians

Practice addresses (Care Compare)

6450 38TH Ave N
Suite 200
St Petersburg, FL 33710-1649
Phone (727) 344-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0080990FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
West Coast Neonatology, Inc. Obstetrics & Gynecology CurrentSince Feb 4, 2017 Accepting new patients
All Children's OB/GYN Specialists Obstetrics & Gynecology CurrentSince Feb 4, 2017 Accepting new patients

Locations

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

5959 Central Ave
Ste 200
St Petersburg, FL 33710
Phone (727) 727-6060

6450 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 344-6060

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 767-6060

601 5th St S
Ste 2
St Petersburg, FL 33701
Phone (727) 767-3333

Interoperability endpoints

  • Direct secure messaging: sdevanesan733745@direct.hopkinsmedicine.org
  • Direct secure messaging: sdevanesan188761@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1629053517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-727-6060",
            "fax_number": "727-767-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-727-6060",
            "fax_number": "727-767-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANESAN",
        "first_name": "SHEILA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0080990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261926100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.