Active NPI
Deviney Rattigan, MD
- Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 390200000
- Practice address
- 1110 Lombard St Apt 24
Philadelphia, PA 19147-1206 - Phone
- (856) 264-7845
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 390200000 | PA | Primary |
Addresses
Primary practice location
1110 Lombard St Apt 24
Philadelphia, PA 19147-1206
Mailing address
1110 Lombard St Apt 24
Philadelphia, PA 19147-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (610) 642-1908
1100 Walnut St
Mob 5TH Floor
Philadelphia, PA 19107-5563
Phone (215) 955-6750
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Health- Northeast
- Paoli Hospital
- Main Line Hospital Lankenau
- Jefferson Abington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Surgery | Current | Accepting new patients |
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Main Line Hospitals, Inc. | Past | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
255 W Lancaster Ave
Ste 331
Paoli, PA 19301
Phone (484) 527-2232
1101 Chestnut St
#8
Philadelphia, PA 19107
Phone (215) 955-5869
1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
100 E Lancaster Ave
#275
Wynnewood, PA 19096
Phone (215) 622-3743
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1649660804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 LOMBARD ST APT 24",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 LOMBARD ST APT 24",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471206",
"telephone_number": "856-264-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTIGAN",
"first_name": "DEVINEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "390200000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.