Michael S. Devine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD460462 Issued in PA

Practice address

165 Ridgewood Rd
Wayne, PA 19087-2846

Phone

(610) 486-5980

NPI assigned

Mar 29, 2013

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.devine@187795037093892.direct.elationemr.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.

• Abington Memorial Hospital

  • Hospitalist Physician
  • Abington, PA
  • NPI 1770508319

  Internal Medicine

  Medicare reassignment NPD
• Abington Memorial Hospital

  • Maternal & Fetal Medicine Physician
  • Abington, PA
  • NPI 1649033069
  NPD

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821331653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. WAYNE AVE.",
            "address_2": "P.O. BOX #279",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190870279",
            "telephone_number": "610-486-5980",
            "fax_number": "610-273-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 RIDGEWOOD RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872846",
            "telephone_number": "610-486-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael.Devine@187795037093892.direct.elationemr.com",
            "affiliation": "Y",
            "endpointDescription": "Elation",
            "affiliationName": "Devine Concierge Medicine, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 Ridgewood Rd",
            "city": "Wayne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190872846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula Thomas Delong, MA
• Suzanne Polcyn Deluca, PT
• Nathanael Desantana, MS
• Julia Rose Dethlefs, DPT
• Devine Concierge Medicine, LLC
• Karen L Dewane, PT
• Hadiatou Diallo
• Kathleen Difebo, OT
• Paula Difrancesco, LICENSED MASSAGE
• Marie Dillulio, RDN

• Internal Medicine Physician in Wayne, PA
• Providers in Wayne, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.