Paul Matthews Van Deventer, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

10083R Issued in LA

Practice address

2330 N Causeway Blvd
Mandeville, LA 70471-6402

Phone

(985) 674-1700

Fax

(985) 674-1722

NPI assigned

Jun 14, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Orthopedic Surgery

Education

University of Mississippi School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
• Avala Hospital, Covington, LA, CCN 190267
• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Avala Physician Network, LLC

  • Multi-Specialty Clinic/Center
  • Covington, LA
  • NPI 1922694710

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairway Medical Center, LLC

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1851487086
  Care Compare affiliation
• Southeast Louisiana Home Health, LLC

  • Home Health Agency
  • Covington, LA
  • NPI 1386610848
  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730184193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716402",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEVENTER",
        "first_name": "PAUL",
        "middle_name": "MATTHEWS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "10083R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531278",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uptown Counseling Center LLC
• US Radiology Partners of Texas Inc
• Ashley Kuehne Vaccarella, D.P.T.
• Kary Valdes, LCSW
• James Scott Vallee, R.PH.
• Raegan Rushelle Varnado
• Amy Periou Veillette, PT
• Gisele A Vermette, DC
• Joseph Orlando Vigil, PH.D.
• Victoria Nicole Vince, PHARMD

• Specialist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.