NPIMap

Individual provider Active NPI

Devon Mark Craft, DO

  • Family Medicine Physician
  • Ellenville, NY
National Provider Identifier
1831576412
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
292692 Issued in NY
Practice address
38 N Main St
Ellenville, NY 12428-1017
Phone
(845) 272-1035
NPI assigned
May 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 292692 NY Primary

Addresses

Primary practice location

38 N Main St
Ellenville, NY 12428-1017

Mailing address

38 N Main St
Ellenville, NY 12428-1017
Phone (845) 272-1035

Other practice location 1

8415 Route 209
Ellenville, NY 12428-8100
Phone (845) 901-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180802002942 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2961750286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38 N Main St
Ellenville, NY 12428-1017
Phone (845) 272-1035

Hospital & facility affiliations

  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Hudson Valley Hospice Hospice, Poughkeepsie, NY, CCN 331521
  • Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049

Merit-based Incentive Payment System (MIPS)

Final score
81.68 of 100Reported as individual
Quality
66.36
Improvement activities
40
Cost
83.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Craft DO PC CurrentSince Mar 16, 2019 Accepting new patients
Craft Chiropractic Associates CurrentSince Mar 16, 2019 Accepting new patients

Locations

38 N Main St
Ellenville, NY 12428
Phone (845) 272-1035

Interoperability endpoints

  • Direct secure messaging: devon.craft.1@19157.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1831576412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N MAIN ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281017",
            "telephone_number": "845-272-1035",
            "fax_number": "845-272-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N MAIN ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281017",
            "telephone_number": "845-272-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 Route 209",
            "address_purpose": "LOCATION",
            "city": "Ellenville",
            "state": "NY",
            "postal_code": "124288100",
            "country_code": "US",
            "telephone_number": "845-901-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "DEVON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "292692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.