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SAMYUKTHA DEVABHAKTUNI M.D.
NPI 1407273865
Family Medicine in Holmen, WI

Active since March 24, 2014PECOS Enrolled
1303 WEST MAIN S, HOLMEN, WI 54636(608) 785-0940 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, May 27, 2026, Feb 8, 2021 and 1 more (4 updates tracked since 2017).

About Samyuktha Devabhaktuni M.d. NPPES

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

SAMYUKTHA DEVABHAKTUNI M.D. (NPI 1407273865) is an individual family medicine provider in Holmen, Wisconsin, licensed in Wisconsin (103986) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1407273865
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMYUKTHA DEVABHAKTUNICredential: M.D.
Location Address1303 WEST MAIN SHolmen, WI 54636-8927
Mailing Address2310 E Brown RdMesa, AZ 85213-5226 · (480) 649-9000
Phone(608) 785-0940
Sole ProprietorNo
Enumeration DateMarch 24, 2014
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1407273865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 103986✔ Licensed in AZ · 53871
Definition
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.
1303 WEST MAIN S, Holmen, WI 54636
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Secondary Practice Location 1

Location 12310 E Brown RdMesa, AZ 85213-5226 · Phone (480) 649-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samyuktha Devabhaktuni M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samyuktha Devabhaktuni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
10 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861
Brown Road Family Medicine, PLLC
1,320 mi
Preferred Provider Organization
2310 E BROWN RD
Mesa, AZ 85213
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1518081066 (480) 649-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54636 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samyuktha Devabhaktuni's NPI number?

The NPI number for Samyuktha Devabhaktuni is 1407273865. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Samyuktha Devabhaktuni located?

Samyuktha Devabhaktuni practices at 1303 West Main S, Holmen, WI 54636. The listed phone number is (608) 785-0940.

What is Samyuktha Devabhaktuni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samyuktha Devabhaktuni enrolled in Medicare?

Yes. Samyuktha Devabhaktuni is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samyuktha Devabhaktuni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samyuktha Devabhaktuni reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI) and Brown Road Family Medicine, PLLC (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samyuktha Devabhaktuni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samyuktha Devabhaktuni was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.