NPIMap

Individual provider Active NPI

Sarah M Devine, M.D.

  • Internal Medicine Physician
  • Harlan, IA
National Provider Identifier
1639286016
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33524 Issued in IA
Practice address
1220 Chatburn Ave
Harlan, IA 51537-2009
Phone
(712) 755-5130
Fax
(712) 755-4470
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33524 IA Primary
Pediatrics Physician 208000000X 33524 IA

Addresses

Primary practice location

1220 Chatburn Ave
Harlan, IA 51537-2009

Mailing address

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

Other identifiers 1

IdentifierTypeStateIssuer
2215848MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000446 IA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224058219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Chris a Myrtue Memorial HospitalGroup PAC ID 5193619393, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

Hospital & facility affiliations

  • Angels Care Home Health of Iowa Home health agency, Council Bluffs, IA, CCN 167292
  • Myrtue Med Center Home Health Home health agency, Harlan, IA, CCN 167071
  • Myrtue Medical Center Hospice Hospice, Harlan, IA, CCN 161555
  • Myrtue Medical Center Hospital, Harlan, IA, CCN 161374
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • Crawford County Memorial Hospital Hospital, Denison, IA, CCN 161369
  • Elm Crest Retirement Community Nursing home, Harlan, IA, CCN 165372
  • Salem Lutheran Home Nursing home, Elk Horn, IA, CCN 165155
  • Myrtue Medical Center Nursing home, CCN 16Z374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33524IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients

Locations

1220 Chatburn Ave
Harlan, IA 51537
Phone (712) 755-5056

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

Interoperability endpoints

  • Direct secure messaging: sdevine117932@uihcdirect.org

Organizations & group practices 2

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 11

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1639286016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057",
            "telephone_number": "712-755-5161",
            "fax_number": "712-755-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372009",
            "telephone_number": "712-755-5130",
            "fax_number": "712-755-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "33524",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "33524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215848",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

Verify at the official NPI Registry.