Kenneth R. Devellis, M.D.
NPI 1528007515ActiveIndividual· Surgery· Medford, MA
Listed on the HHS-OIG exclusion list since October 2014 (1128b4). Surgery (M.D.) in Medford, Massachusetts, licensed in MA, with an NPI issued in June 2006.
Overview
| NPI | 1528007515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2006 |
| Last updated in NPPES | Aug 16, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 40819 | MA |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Kenneth R. Devellis · Surgery | 1128b4 | Oct 20, 2014 | Melrose, MA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Medford
- 1720063142
- 1740817469