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DEVIN HENRY MIDURA MD
NPI 1629572565
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 23, 2018PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 696-2583 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Devin Henry Midura Md NPPES

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

DEVIN HENRY MIDURA MD (NPI 1629572565) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2018).

NPPES Registry Identity

NPI1629572565
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEVIN HENRY MIDURACredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 696-2583
Phone(718) 696-2583
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2018
Enumeration DateMarch 23, 2018
✔ NPI 1629572565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devin Henry Midura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840756698
PECOS Enrollment IDI20260731001038
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 Reassignment

Medicare enrollment records show Devin Midura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Other Providers at the Same Location NPPES 20

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

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Devin Midura's NPI number?

The NPI number for Devin Midura is 1629572565. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Devin Midura located?

Devin Midura practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 696-2583.

What is Devin Midura's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Devin Midura enrolled in Medicare?

Yes. Devin Midura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devin Midura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devin Midura reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Devin Midura'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 Devin Midura was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.