Davangere P Devanand

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

160258 Issued in NY

Practice address

425 Robinson St
Binghamton, NY 13901-4101

Phone

(607) 724-1391

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 18, 2016 through Feb 18, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dpd9004@direct.nyp.org

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972628881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E BELVEDERE LN",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139014101",
            "telephone_number": "607-724-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANAND",
        "first_name": "DAVANGERE",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "160258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamlesh Shivlal Desai, MD
• Madison Desantis, DO
• Dawn Desorcie, LMSW
• Courtney Dessell, PHARMD
• John P Deuel, DO
• Akhila Reddy Devi Reddy
• Elizabeth Devivo, LCSW
• Rekha Dharmapuri, MD
• Shamsher Kaur Dhillon, MD
• Nacir Dhouibi

• Geriatric Psychiatry Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.