NPIMap

Individual provider Active NPI

Devinda De Soyza, M.D.

  • Nephrology Physician
  • Irving, TX
National Provider Identifier
1710972435
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K8619 Issued in TX
Practice address
1625 N Story Rd
Irving, TX 75061-1929
Phone
(214) 358-2300
Fax
(214) 366-6220
NPI assigned
Sep 19, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K8619 TX Primary

Addresses

Primary practice location

1625 N Story Rd
Irving, TX 75061-1929

Mailing address

1420 Viceroy Dr
Dallas, TX 75235-2208
Phone (214) 358-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210224001651 FL Practitioner - Nephrology 7416053517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
National Kidney Partners, LLP Nephrology CurrentSince Apr 1, 2021 Accepting new patients

Locations

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

2967 Landover Blvd
Spring Hill, FL 34608
Phone (352) 684-5323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ddesoyza295974@direct.tgh.org
  • Direct secure messaging: ddesoyza77173@direct.acumenmd.com
  • Direct secure messaging: devindadesoyza@dneph.allscriptsdirect.net
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1710972435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352208",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N STORY RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750611929",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOYZA",
        "first_name": "DEVINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K8619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.