Active NPI
Divya Narayanaswamy, M.D.
- Family Medicine Physician
- Hiawatha, IA
National Provider Identifier
1043440811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39694
- Practice address
- 1001 N Center Point Rd
Suite C
Hiawatha, IA 52233-1236 - Phone
- (319) 362-0200
- Fax
- (319) 399-5186
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39694 | IA | Primary |
Addresses
Primary practice location
1001 N Center Point Rd
Suite C
Hiawatha, IA 52233-1236
Mailing address
1001 N Center Point Rd
Suite C
Hiawatha, IA 52233-1236
Phone (319) 362-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043440811 | Medicaid | IA | |
| P01372971 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39694 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1043440811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N CENTER POINT RD",
"address_2": "SUITE C",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331236",
"telephone_number": "319-362-0200",
"fax_number": "319-399-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N CENTER POINT RD",
"address_2": "SUITE C",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331236",
"telephone_number": "319-362-0200",
"fax_number": "319-399-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYANASWAMY",
"first_name": "DIVYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "39694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043440811",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01372971",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.