Scott A Devilleneuve, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L9173 Issued in TX

Practice address

8865 Synergy Drive
Suite 100
McKinney, TX 75070-6521

Phone

(972) 562-1119

Fax

(972) 529-9510

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.devilleneuve.1@11340.direct.athenahealth.com

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.

• Scott a. Devilleneuve, MD PA

  • Surgery Physician
  • McKinney, TX
  • NPI 1528240884
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1730149899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 SYNERGY DRIVE",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706521",
            "telephone_number": "972-562-1119",
            "fax_number": "972-529-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 SYNERGY DRIVE",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706521",
            "telephone_number": "972-562-1119",
            "fax_number": "972-529-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVILLENEUVE",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Elizabeth Desimone, PA-C
• Destefano Transitions MHT LLC
• Destiny Home Health LLC
• Cynthia Lauren Dethlefs, PA-C
• Allison Detloff
• Shala Devlin, PHARMD, RPH
• John M Devore, DC
• Dewayne Smith
• Ian Thomas Dewey, BCBA
• Blessing E. Dexter, LPCS, LSSP

• Surgery Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.