Active NPI
Avinash Nanikram Devnani, MD
- Diagnostic Radiology Physician
- Merrillville, IN
National Provider Identifier
1679554091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01057478
- Practice address
- 8701 Broadway
Merrillville, IN 46410-7035 - Phone
- (219) 738-5500
- Fax
- (219) 738-6714
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01057478 | IN | Primary |
Addresses
Primary practice location
8701 Broadway
Merrillville, IN 46410-7035
Mailing address
55 E 86TH Ave
PO Box 10645
Merrillville, IN 46410-6382
Phone (219) 769-1670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200454320 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11175 Brooks Rd
Beaumont, TX 77713-4169
Phone (928) 855-8151
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171
Hospital & facility affiliations
- Doctors Hosptal at Renaissance
- Havasu Regional Medical Center
- Valley View Medical Center
- South Texas Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057478 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare LLC | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Medical Foundation | Family Medicine | Current | Accepting new patients |
| Midwest Clinical Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
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.
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
Family Medicine
-
- Diagnostic Radiology Physician
- Melrose Park, IL
- NPI 1417999749
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- Psychiatric Hospital Unit
- Edinburg, TX
- NPI 1053301754
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1770573586
-
- General Acute Care Hospital
- Fort Mohave, AZ
- NPI 1811086994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1679554091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 86TH AVE",
"address_2": "PO BOX 10645",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106382",
"telephone_number": "219-769-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107035",
"telephone_number": "219-738-5500",
"fax_number": "219-738-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVNANI",
"first_name": "AVINASH",
"middle_name": "NANIKRAM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01057478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200454320",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.