Individual provider Active NPI

Gene Arthur Devora, MD/PHD

  • Allergy & Immunology Physician
  • Plano, TX
National Provider Identifier
1952510752
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M6587 Issued in TX
Practice address
6300 W Parker Rd Ste G22
Plano, TX 75093-8105
Phone
(972) 981-3692
Fax
(972) 981-3605
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X M6587 TX Primary

Addresses

Primary practice location

6300 W Parker Rd Ste G22
Plano, TX 75093-8105

Mailing address

6300 W Parker Rd Ste G22
Plano, TX 75093-8105
Phone (972) 981-3692

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0022638OtherINSTITUTIONAL PERMIT

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
I20110628000679 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7012195704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6300 W Parker Rd
Suite G22
Plano, TX 75093-8105
Phone (972) 981-3692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6587TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gene a Devora MD PHD PA Allergy & Immunology CurrentSince Jan 10, 2011 Accepting new patients

Locations

6300 W Parker Rd
Ste 220
Plano, TX 75093
Phone (972) 981-8215

6300 W Parker Rd
Ste G22
Plano, TX 75093
Phone (972) 394-0200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGADD/Endpoint/EHGADD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1952510752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE G22",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938105",
            "telephone_number": "972-981-3692",
            "fax_number": "972-981-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE G22",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938105",
            "telephone_number": "972-981-3692",
            "fax_number": "972-981-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORA",
        "first_name": "GENE",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M6587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0022638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.