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DR. ROBERT ALLAN DEVEREAUX MD NPI 1043264781


NPI Information

NPI: 1043264781
Provider Name: DR. ROBERT ALLAN DEVEREAUX, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0723942

Address:
11100 WARNER AVE
STE 100
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 957-9389
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DR. Robert Allan Devereaux, MD is a family medicine in Fountain Valley, CA with 48 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert Allan Devereaux, MD NPI is 1043264781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1976

The provider's business location address is:

11100 WARNER AVE
STE 100
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 957-9389
Fax: (714) 957-0144

The NPI 1043264781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0723942 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Repair of knee joint (HCPCS:27447)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA31475CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A31475MEDICARE ID-TYPE UNSPECIFIED
200A314750MEDICAIDCALIFORNIA
3A26497MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.