Elliot Davis Deyoung, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

130456 Issued in CA

Practice address

1400 Pelham Pkwy S
Department of Surgery
Bronx, NY 10461-1138

Phone

(949) 637-7074

NPI assigned

Jul 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Santa Barbara Radiology Medical Group, Inc.Group PAC ID 6800872953, 9 clinicians

Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
• Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
• Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
• Mammoth Hospital Hospital, Mammoth Lakes, CA, CCN 051303

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment Care Compare group NPD
• Santa Barbara Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1073505715
  Medicare reassignment Care Compare group NPD
• Southern Mono Health Care District

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Medicare reassignment Care Compare group NPD
• California Managed Imaging Medical Group, Inc

  • Vascular & Interventional Radiology Physician
  • Santa Barbara, CA
  • NPI 1821271727
  Medicare reassignment Care Compare group
• Nisha Bunke, MD

  • Family Medicine Physician
  • La Jolla, CA
  • NPI 1518256734
  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931
  Medicare reassignment
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Goleta Valley Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1225038136
  Care Compare affiliation
• Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
  • NPI 1194711952
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863
  Care Compare affiliation
• Southern Mono Health Care District

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Care Compare affiliation

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1972881035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "949-637-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "949-637-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7514 Girard Ave # 1605",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920375149",
            "country_code": "US",
            "telephone_number": "858-972-9637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "ELLIOT",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "130456",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "130456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek Dewan, M.D.
• Aditya Dewanjee, MD
• Valerie Dewberry
• Alexis Dewindt, CFSD
• Daisy L Deynes, MS. SP. ED
• Dge Psychological Services
• Dge Psychological Services P.C.
• Jay Jayanti Dhaduk, PHARMD
• Jayantilal Vallabhbhai Dhaduk, RPH
• Radhika J Dhaduk, PHARMD

• Vascular & Interventional Radiology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.

Verify at the official NPI Registry.