| Raviteja Naga Devalla, MD | |
|
345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287 | |
| (605) 217-5617 | |
| (605) 217-5533 |
| Full Name | Raviteja Naga Devalla |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 10 Years |
| Location | 345 W Steamboat Dr Ste 601, Dakota Dunes, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073975298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 14123 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Siouxland | Sioux city, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Burgess Health Center | Onawa, IA | Hospital |
| Pender Community Hospital | Pender, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vascular And Interventional Radiology Of Siouxland | 7113330663 | 14 |
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Vascular And Interventional Radiology Of Siouxland | 7113330663 | 14 |
| Sage Medical Prof Llc | 4385992619 | 9 |
| Vascular And Interventional Radiology Of Siouxland | 7113330663 | 14 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Vascular & Interventional Radiology Of Siouxland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225636129 PECOS PAC ID: 7113330663 Enrollment ID: O20201230002359 |
| Mailing Address | Practice Location Address |
|---|---|
| Raviteja Naga Devalla, MD 345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287 Ph: (605) 217-5617 | Raviteja Naga Devalla, MD 345 W Steamboat Dr Ste 601, Dakota Dunes, SD 57049-5287 Ph: (605) 217-5617 |
Dr. Craig Robert Nemechek, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 | |
Dr. Keith A. Vollstedt, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 | |
Dr. Paul W. Wolpert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 612 N Sioux Point Rd, Ste 400, Dakota Dunes, SD 57049 Phone: 605-232-6353 Fax: 605-232-6500 | |
Dr. Yorell Manon-matos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 Sioux Point Road, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900 | |
Paul E Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 | |
Dr. Lawrence Thomas Volz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515 |