Individual provider Active NPI

Michael F Devenny, MD

Diagnostic Radiology Physician
Tuscaloosa, AL

National Provider Identifier

1669412292

Registry record updated Feb 28, 2021

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices2
NPI Registry JSON
Other providers in Tuscaloosa, AL
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License: 16759 Issued in AL
Practice address: 208 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone: (205) 345-7000
Fax: (205) 343-0910
NPI assigned: Jun 8, 2006
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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
Diagnostic Radiology Physician	2085R0202X	16759	AL	Primary

Addresses

Primary practice location

208 McFarland Cir N
Tuscaloosa, AL 35406-1800

Mailing address

208 McFarland Cir N
Suite 100
Tuscaloosa, AL 35406-1800
Phone (205) 345-7000

Other identifiers 14

Identifier	Type	State
009989490	Medicaid	AL
009989530	Medicaid	AL
009989560	Medicaid	AL
009989730	Medicaid	AL
009989510	Medicaid	AL
000036419	Medicaid	AL
009989450	Medicaid	AL
009989520	Medicaid	AL
009989540	Medicaid	AL
009989550	Medicaid	AL
009989440	Medicaid	AL
009993560	Medicaid	AL
009989500	Medicaid	AL
009989460	Medicaid	AL

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
Direct Messaging Address	mdevenny@direct.tuscrad.com	Direct

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
16759	AL	MD	Diagnostic Radiology Physician

Practice roles

Organization	Specialty	Status	New patients
DCH Provider Services, LLC	Diagnostic Radiology	Past	Accepting new patients
Tuscaloosa Radiology Clinic, P.C.	Diagnostic Radiology	Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: mdevenny@direct.tuscrad.com

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.

DCH Provider Services, LLC
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1639918410
Diagnostic Radiology
NPD (past)
Tuscaloosa Radiology Clinic, P.C.
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1750479812
Diagnostic Radiology
NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1669412292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MCFARLAND CIR N",
            "address_2": "SUITE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-345-7000",
            "fax_number": "205-343-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MCFARLAND CIR N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061800",
            "telephone_number": "205-345-7000",
            "fax_number": "205-343-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENNY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "16759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989490",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989530",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989560",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989730",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989510",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000036419",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989450",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989520",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989540",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989550",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989440",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993560",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989500",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009989460",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdevenny@direct.tuscrad.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 McFarland Cir N",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354061800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.