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Active NPI 1528007515 Individual Practitioner Male Practitioner

Dr. Kenneth R Devellis , MD

Surgery • Medford, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Devellis, MD is a registered healthcare professional specializing in Surgery in Medford, MA. Practice services are available at 92 HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

92 High St
Suite 32

Medford, MA 021553850

Telephone 7813955250
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Medford, MA (1077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 40819

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Alex Beaton , LMHC

Counselor - Mental Health

NPI 1013871805

Licensed Mental Health Counselor

Dr. Poul Laplante , MD

Family Medicine

NPI 1023065778

Doctor of Medicine (M.D.)

Dr. Fehmida Chipty , MD

Internal Medicine - Gastroenterology

NPI 1063423804

Doctor of Medicine (M.D.)

NPI 1063438596

Doctor of Medicine (M.D.)

Alissa Kuznick , LICSW

Social Worker - Clinical

NPI 1164551768

Licensed Independent Clinical Social Worker

Dr. Dan Pollets , PhD

Psychologist - Clinical

NPI 1205905130

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2011

Registered at 92 HIGH ST, SUITE 32, MEDFORD, MA 021553850 (Tel: 7813955250)

📍
Updated Business Mailing Address August 16, 2011

Registered at 92 HIGH ST, SUITE 32, MEDFORD, MA 021553850 (Tel: 7813955250)

👤
Provider Name / Credentials Updated August 16, 2011

Recorded as KENNETH DEVELLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2011

Surgery (License #40819 in MA)

🟢
Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528007515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: August 16, 2011
Sole Proprietor: Yes

Mailing Address

92 High St, Suite 32

Medford, MA 021553850

Phone: 7813955250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.