Individual provider Active NPI

Devendra KC, MD

  • Medical Oncology Physician
  • Hartford, CT
National Provider Identifier
1972735207
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
64971 Issued in CT
Practice address
Hartford Hospital Cvo Provider Enrollment
80 Seymour Street
Hartford, CT 06102-8000
Phone
(860) 972-3495
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51460 CO
Hospitalist Physician 208M00000X R1972 TX
Internal Medicine Physician 207R00000X R1972 TX
Medical Oncology Physician 207RX0202X 64971 CT Primary

Addresses

Primary practice location

Hartford Hospital Cvo Provider Enrollment
80 Seymour Street
Hartford, CT 06102-8000

Mailing address

85 Retreat Ave
Hartford, CT 06106-2555

Other practice location 1

27800 Northwest Fwy # 4201
Cypress, TX 77433-5302
Phone (346) 231-5887

Other identifiers 1

IdentifierTypeStateIssuer
20172877MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200609001477 CT Practitioner - Medical Oncology 8224285960 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 545-5107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1972TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Pathology Associates, P.C. Current Accepting new patients
The William W Backus Hospital CurrentSince Jan 1, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2021 Accepting new patients
Hartford Hospital CurrentSince Aug 3, 2020 Accepting new patients
Windham Community Memorial Hospital, Inc. Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine Current Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2021 Accepting new patients
William W Backus Hospital CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations

80 Fisher Dr
Avon, CT 06001
Phone (855) 255-6181

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

196 Parkway S
Ste 202
Waterford, CT 06385
Phone (860) 439-0440

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: devendra.kc@xdr.hhchealthdirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1972735207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARTFORD HOSPITAL CVO PROVIDER ENROLLMENT",
            "address_2": "80 SEYMOUR STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27800 Northwest Fwy # 4201",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774335302",
            "country_code": "US",
            "telephone_number": "346-231-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KC",
        "first_name": "DEVENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "51460",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R1972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1972",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "64971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20172877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.