Individual provider Active NPI

Christopher Deuel, M.D.

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1932545035
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-22366 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(210) 912-8802
NPI assigned
May 15, 2013
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10045753 TX
Family Medicine Physician 207Q00000X Q2537 TX
Family Medicine Physician 207Q00000X MD-22366 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

7905 Songbird LN
Fort Worth, TX 76123-1846
Phone (210) 912-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150324000285 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7719204197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Cypress PLLCGroup PAC ID 5799217451, 27 clinicians

Practice addresses (Care Compare)

504 Lipscomb St
Bonham, TX 75418-4028
Phone (903) 583-8585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10045753TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord North Texas, PLLC CurrentSince May 13, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC CurrentSince Sep 4, 2024 Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: christopher.deuel.1@16194.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1932545035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 SONGBIRD LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231846",
            "telephone_number": "210-912-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "210-912-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUEL",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10045753",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-22366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.