DEVYN PORATH – Medical Physician Assistant, NPI 1003393190

DEVYN PORATH is a healthcare provider. based in Novi, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5315094078 (MI). The NPI Number for DEVYN PORATH is 1003393190

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DEVYN PORATH
NPI
1003393190
Phone
(248) 426-7200
Address
39555 W 10 MILE RD STE 302
Enumeration Date
23 July 2018
Last Update Date
23 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347123456
Graduation Year
2018 (8 years ago)
PAC ID
1355674748
Group Practice PAC ID
3779489281
Professional Enrollment ID
I20190618002153
Address ID
MI481971051YP5301XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for DEVYN PORATH

  • West 10 Mile Road, Novi, Oakland County, Michigan, 48374:48393, United States

    NOVI, MI 483752950

    Phone: (248) 426-7200

    Type: Location

  • Southgate, Georgetown, Scott County, Kentucky, United States

    SOUTHGATE, MI 481951323

    Phone: (734) 308-7224

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: ABBVIE INC. ($99).

Total Amount

$189

General + Research + Ownership

Payments

10

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190618002153IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48375)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779489281View full group profile

Reviews

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Frequently asked questions

What identifier follows DEVYN PORATH across health systems?
The NPI 1003393190 uniquely identifies DEVYN PORATH in U.S. healthcare data.
Is DEVYN PORATH's NPI status active today?
Active status means DEVYN PORATH's NPI record is not deactivated in the public file.
What type of care does DEVYN PORATH provide?
DEVYN PORATH's profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DEVYN PORATH tied to Novi, Michigan?
If you are local to Novi, Michigan, DEVYN PORATH may be relevant to your search.
Can I export DEVYN PORATH's record?
You can download the official NPPES record; we summarize key fields for readability.

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