MEDICARE: DEVONNE A ELKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01064284A	IN
2	2081P0010X	Pediatric Rehabilitation Medicine Physician	01064284	IN
3	208M00000X	Hospitalist Physician	01064284A	IN
4	2080P0006X	Developmental - Behavioral Pediatrics Physician	01064284	IN
5	208000000X	Pediatrics Physician	01064284A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619913001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVONNE A ELKINS MD

Provider Business Mailing Address
First Line	:	PO BOX 719094
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-9318
Country	:	US
Telephone Number	:	317-777-6435
Fax Number	:	317-777-6644

Provider Business Practice Location Address
First Line	:	550 UNIVERSITY BLVD
Second Line	:	UH 1501
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-948-1310
Fax Number	:	317-948-0503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/13/2026

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Directions to “ DEVONNE A ELKINS MD” Practice Location

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