MS. KALLI LYN DEVECKI D.O.
NPI 1639600653
Surgery - Surgical Critical Care in Johnson City, TN

Q: What is Kalli Devecki's NPI number?

The NPI number for Kalli Devecki is 1639600653. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Kalli Devecki's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Kalli Devecki was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 22, 2017PECOS EnrolledAccepts Medicare Assignment

410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604(423) 431-2460 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Sep 7, 2023, Mar 27, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Kalli Lyn Devecki D.o. NPPES

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

MS. KALLI LYN DEVECKI D.O. (NPI 1639600653) is an individual surgical critical care provider in Johnson City, Tennessee, licensed in Tennessee (5255) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1639600653

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameMS. KALLI LYN DEVECKICredential: D.O.

Location Address410 N STATE OF FRANKLIN RD STE 130Johnson City, TN 37604-6972

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 431-2460

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 22, 2017

Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1639600653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in TN · 5255

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 5255 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604

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Secondary Practice Location 1

Location 1655 W 8th St, Box FC12Jacksonville, FL 32209-6511 · Phone (904) 383-1015 · Fax (904) 244-8172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kalli Lyn Devecki D.o. 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 ID3870865439

PECOS Enrollment IDI20230831003161

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 Kalli Devecki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation

Same address

Neurological Surgery

410 N STATE OF FRANKLIN RD, SUITE 120
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
496 clinicians in this Medicare group

NPI 1003152307 (423) 431-2350

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

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

89 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

51 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services33 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

42 services42 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.

29 services29 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440018

Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440184

Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

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

DR. RAMIN A BEHMAND

Plastic Surgery