NPIMap

Individual provider Active NPI

Devin Kumar Datta, MD

  • Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1821062290
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME82856 Issued in FL
Practice address
2222 S Harbor City Blvd
Suite 610
Melbourne, FL 32901-5594
Phone
(321) 723-7716
Fax
(321) 723-0604
NPI assigned
Feb 14, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME82856 FL Primary

Addresses

Primary practice location

2222 S Harbor City Blvd
Suite 610
Melbourne, FL 32901-5594

Mailing address

2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Phone (321) 723-7716

Other identifiers 3

IdentifierTypeStateIssuer
OU297OtherFLMEDICARE HF
03336OtherFLBCBS
265084301MedicaidFL

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
I20080211000069 FL Practitioner - Orthopedic Surgery 3971686270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

2222 S Harbor City Blvd
Melbourne, FL 32901-5591
Phone (321) 723-7716

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1279

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion584
Laminectomy or laminotomy (partial removal of spine bones)92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Mar 15, 2022 Accepting new patients
Steward Medical Group, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Crane Creek Surgical Partners, LLC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 9, 2019 Accepting new patients
Brevard Orthopaedic Spine & Pain Clinic Inc Orthopaedic Surgery CurrentSince Mar 14, 2011 Accepting new patients
Health First Medical Group, LLC Orthopaedic Surgery CurrentSince Mar 15, 2022 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

2222 S Harbor City Blvd
Ste 450
Melbourne, FL 32901
Phone (321) 541-1715

2222 S Harbor City Blvd
Ste 510
Melbourne, FL 32901

2222 S Harbor City Blvd
Ste 610
Melbourne, FL 32901
Phone (321) 541-1537

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 752-1588

930 S Harbor City Blvd
Melbourne, FL 32901
Phone 3217255050614

650 S Courtenay Pkwy
Ste 200
Merritt Island, FL 32952
Phone (321) 394-2600

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Interoperability endpoints

  • Direct secure messaging: ddatta23027@epicdirect.hf.org
  • Direct secure messaging: devin.datta.2@8524.direct.athenahealth.com

Organizations & group practices 7

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1821062290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD STE 610",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015591",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD",
            "address_2": "SUITE 610",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015594",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "DEVIN",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME82856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "OU297",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03336",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265084301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.