Individual provider Active NPI

Yasoda Devabhaktuni, MD

  • Hematology & Oncology Physician
  • New Albany, IN
National Provider Identifier
1861442840
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01059381A Issued in IN
Practice address
2210 Green Valley Rd
Ste1
New Albany, IN 47150-4648
Phone
(812) 945-4000
Fax
(812) 945-0074
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01059381A IN Primary
Hematology & Oncology Physician 207RH0003X 35813 KY

Addresses

Primary practice location

2210 Green Valley Rd
Ste1
New Albany, IN 47150-4648

Mailing address

2210 Green Valley Rd
Ste1
New Albany, IN 47150-4648
Phone (812) 945-4000

Other identifiers 4

IdentifierTypeStateIssuer
200491310AMedicaidIN
200491310BMedicaidIN
200491310DMedicaidIN
200491310FMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20041014000708 IN Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4587624432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0626

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059381AINMDHematology & Oncology Physician
35813KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Hematology & Oncology CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Clinic Inc CurrentSince Sep 15, 2020 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jan 22, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jan 22, 2025 Accepting new patients
Deaconess Clinic, Inc Hematology & Oncology CurrentSince Sep 15, 2020 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Baptist Health Medical Group Inc Hematology & Oncology CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Clinic Inc. Hematology & Oncology Current Accepting new patients
University Obstetrical and Gynecological Associates, PSC Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

1507 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-0413

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

2210 Green Valley Rd
Ste 1
New Albany, IN 47150
Phone (812) 945-4000

2210 Green Valley Rd
#1
New Albany, IN 47150
Phone (812) 845-4000

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

1430 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0165

Interoperability endpoints

  • Direct secure messaging: ydevabhaktuni223620@direct.deaconess.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1861442840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GREEN VALLEY RD",
            "address_2": "STE1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504648",
            "telephone_number": "812-945-4000",
            "fax_number": "812-945-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GREEN VALLEY RD",
            "address_2": "STE1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504648",
            "telephone_number": "812-945-4000",
            "fax_number": "812-945-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVABHAKTUNI",
        "first_name": "YASODA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01059381A",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "35813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491310A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491310B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491310D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491310F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.