Active NPI
Cynthia Marie Deveikis, D.O
- Emergency Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OT016263
- Practice address
- 201 State St
Erie, PA 16550-0002 - Phone
- (814) 877-6257
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A16611 | CA | |
| Emergency Medicine Physician | 207P00000X | OT016263 | PA | Primary |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0002
Mailing address
201 State St
Erie, PA 16550-0002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190314002315 | CA | Practitioner - Emergency Medicine | 9133438195 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-4521
4725 -4733 Sunset Blvd
Los Angeles, CA 90027-6021
Phone (323) 783-4011
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Phone (213) 667-4784
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Phone (323) 783-4011
Hospital & facility affiliations
- Kaiser Foundation Hospital - Los Angeles
- Glendale Mem Hospital & HLTH Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16611 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Glendale Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Ridgeline Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Andy Shen, M.D., Inc. | Emergency Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Northridge, CA
- NPI 1972953230
CA, Emergency Medicine
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA
-
- Emergency Medicine Physician
- Alhambra, CA
- NPI 1457427221
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1588606834
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
CA
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1134151657
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
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": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1922493931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVEIKIS",
"first_name": "CYNTHIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2023-10-27",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A16611",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT016263",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "13652 Cantara St",
"city": "Panorama City",
"state": "CA",
"country_code": "US",
"postal_code": "914025423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.