Individual provider Active NPI

Patrick D Devanny, MD

  • Orthopaedic Hand Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1902881931
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
41557 Issued in CO
Practice address
2960 N Circle Dr Ste 115
Colorado Springs, CO 80909-1163
Phone
(719) 471-4994
NPI assigned
Dec 13, 2005
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 41557 CO Primary

Addresses

Primary practice location

2960 N Circle Dr Ste 115
Colorado Springs, CO 80909-1163

Mailing address

2960 N Circle Dr Ste 125
Colorado Springs, CO 80909-1164
Phone (719) 471-4994

Other identifiers 1

IdentifierTypeStateIssuer
89237251MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050617000828 CO Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7416991690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

2960 N Circle Dr
Colorado Springs, CO 80909-1163
Phone (719) 648-5351

406 E Grace Ave
Select Physical Therapy
Woodland Park, CO 80863-3127
Phone (719) 687-3767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)11
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41557COMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick D Devanny MD PC CurrentSince Feb 7, 2016 Accepting new patients
Woodland Park Family Medicine, LLC Past Accepting new patients

Locations

2960 N Circle Dr
Ste 100
Colorado Springs, CO 80909
Phone (719) 471-4994

2960 N Circle Dr
Ste 115
Colorado Springs, CO 80909
Phone (719) 578-1112

2960 N Circle Dr
Ste 125
Colorado Springs, CO 80909
Phone (719) 428-2065

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902881931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 N CIRCLE DR STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091164",
            "telephone_number": "719-471-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N CIRCLE DR STE 115",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091163",
            "telephone_number": "719-471-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANNY",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CO",
            "license": "41557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89237251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.