JEAN L. DEVERA MD - NPI 1992435747 - Pediatrics in Providence, RI

Q: What is Jean Devera's NPI number?

The NPI number for Jean Devera is 1992435747. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Jean Devera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Devera was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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About Jean L. Devera Md NPPES

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

JEAN L. DEVERA MD (NPI 1992435747) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD20695) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Boston University School Of Medicine (2022).

NPPES Registry Identity

NPI1992435747

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJEAN L. DEVERACredential: MD

Location Address31 ATWOOD STProvidence, RI 02909-3410

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400

Phone(401) 444-0590

Fax(401) 396-2084

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2022

Enumeration DateJune 14, 2022

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1992435747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · MD20695

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License CLP05667 (RI), LP05667 (RI)

31 ATWOOD ST, Providence, RI 02909

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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-8805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean L. Devera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557740305

PECOS Enrollment IDI20250715001158

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 02909 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 10

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

COURTNEY R. DOWEN NP

Nurse Practitioner (Pediatrics)