JUSTIN LIM DEVERA
NPI 1205463189
Internal Medicine - Cardiovascular Disease in Sacramento, CA

Q: What is Justin Devera's NPI number?

The NPI number for Justin Devera is 1205463189. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Justin Devera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Devera was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2020PECOS Enrolled

4860 Y ST STE 200, SACRAMENTO, CA 95817(916) 734-3761 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2023, Mar 23, 2020 (2 updates tracked since 2020).

On this page

About Justin Lim Devera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN LIM DEVERA (NPI 1205463189) is an individual cardiovascular disease provider in Sacramento, California, licensed in California (A185044) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205463189

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJUSTIN LIM DEVERA

Location Address4860 Y ST STE 200Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 200Sacramento, CA 95817-2307 · (916) 734-3761

Phone(916) 734-3761

Sole ProprietorNo

Enumeration DateMarch 23, 2020

Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1205463189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A185044

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4860 Y ST STE 200, Sacramento, CA 95817

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Lim Devera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN LEE WALL M.D.

Internal Medicine (Cardiovascular Disease)