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DEVANSHU VERMA MD
NPI 1619350451
Internal Medicine - Rheumatology in Newark, DE

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4735 OGLETOWN STANTON RD STE 2201, NEWARK, DE 19713(302) 623-4390(302) 623-4395 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Apr 8, 2022, Jul 15, 2021 and 4 more (7 updates tracked since 2020).

About Devanshu Verma Md NPPES

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

DEVANSHU VERMA MD (NPI 1619350451) is an individual rheumatology provider in Newark, Delaware, licensed in Delaware (C1-0026458) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619350451
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDEVANSHU VERMACredential: MD
Location Address4735 OGLETOWN STANTON RD STE 2201Newark, DE 19713-8000
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (304) 598-4800
Phone(302) 623-4390
Fax(302) 623-4395
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 29, 2015
Last NPPES UpdateOctober 23, 20237 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1619350451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in DE · C1-0026458✔ Licensed in WV · 29504
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT209124 (PA)
4735 OGLETOWN STANTON RD STE 2201, Newark, DE 19713
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1116 Mayer AveJohnstown, PA 15905-4204 · Phone (972) 863-1688 · Fax (814) 534-3559
Location 2600 Suncrest Town Centre DrMorgantown, WV 26505-0589 · Phone (304) 598-4478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Devanshu Verma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274849401
PECOS Enrollment IDI20231026004184
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DOUGLAS LIENESCH MD
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 623-4390
CHRISTIANA CARE HEALTH SERVICES INC.
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 320-2490
DR. AMY ZHANG M.D.
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 623-4390

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 Devanshu Verma's NPI number?

The NPI number for Devanshu Verma is 1619350451. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Devanshu Verma located?

Devanshu Verma practices at 4735 Ogletown Stanton Rd Ste 2201, Newark, DE 19713. The listed phone number is (302) 623-4390.

What is Devanshu Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Devanshu Verma enrolled in Medicare?

Yes. Devanshu Verma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Devanshu Verma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Devanshu Verma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Devanshu Verma affiliated with any hospitals?

According to CMS data, Devanshu Verma is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Devanshu Verma was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.