NPIMap

Individual provider Active NPI

Indira Devu, MD

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1871530139
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052129 Issued in GA
Practice address
2520 Windy Hill Rd SE Ste 306
Marietta, GA 30067-8653
Phone
(770) 955-1814
Fax
(770) 955-2279
NPI assigned
Jun 2, 2006
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052129 GA Primary

Addresses

Primary practice location

2520 Windy Hill Rd SE Ste 306
Marietta, GA 30067-8653

Mailing address

2520 Windy Hill Rd SE Ste 306
Marietta, GA 30067-8653
Phone (770) 955-1814

Other identifiers 1

IdentifierTypeStateIssuer
279474230BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040618000797 GA Practitioner - Internal Medicine 7416932165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2520 Windy Hill Rd SE
Suite 306
Marietta, GA 30067-8653
Phone (770) 955-1814

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052129GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Devu PC CurrentSince Dec 15, 2004 Accepting new patients
Monroe Hma, LLC Past Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients
Monroe Hma Inc Past Accepting new patients
Monroe Hma Physician Management LLC Internal Medicine Past Accepting new patients

Locations

2520 Windy Hill Rd SE
Ste 306
Marietta, GA 30067
Phone (770) 955-1814

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18062/brand/1/csg/1/fhir/r4
  • Direct secure messaging: indira.devu.1@18062.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1871530139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 306",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678653",
            "telephone_number": "770-955-1814",
            "fax_number": "770-955-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 306",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678653",
            "telephone_number": "770-955-1814",
            "fax_number": "770-955-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVU",
        "first_name": "INDIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279474230B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.