NPIMap

Individual provider Active NPI

Divya S. Rajan, MD

  • Nephrology Physician
  • Beckley, WV
National Provider Identifier
1053520577
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24136 Issued in WV
Practice address
1832 Harper Rd
Beckley, WV 25801-3366
Phone
(681) 207-7129
Fax
(681) 207-7132
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 24136 WV Primary

Addresses

Primary practice location

1832 Harper Rd
Beckley, WV 25801-3366

Mailing address

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7130

Other practice location 1

229 Merchants Walk
Summersville, WV 26651-1901
Phone (681) 207-7130

Other identifiers 1

IdentifierTypeStateIssuer
3810018948MedicaidWV

Other names 1

  • Dr. Divya Suresh Rajan Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aganesh@BCP-wv.direct.office.nextgen.com Direct Beckley Cardiology, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000183 WV Practitioner - NephrologyPractitioner - Internal Medicine 6507050150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beckley Cardiology, PLLCGroup PAC ID 4587979638, 5 clinicians

Practice addresses (Care Compare)

1832 Harper Rd
Beckley, WV 25801-3366
Phone (681) 207-7129

Hospital & facility affiliations

  • DaVita Mountaineer Dialysis Dialysis facility, Beckley, WV, CCN 512538
  • Mountain Ridge Dialysis LLC Dialysis facility, Summersville, WV, CCN 512525
  • Fresenius Medical Care Oceana Dialysis facility, Oceana, WV, CCN 512536
  • Fresenius Medical Care Appalachian Dialysis Dialysis facility, Beckley, WV, CCN 512539
  • Bma Beckley Dialysis facility, Beckley, WV, CCN 512505
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Encompass Health Rehab Hospital of Princeton Inpatient rehabilitation facility, Princeton, WV, CCN 513026

Merit-based Incentive Payment System (MIPS)

Final score
71.52 of 100Reported as individual
Quality
26.67
Improvement activities
40
Cost
74.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Cardiology, PLLC Nephrology CurrentSince Dec 1, 2015 Accepting new patients
Medical Associates of Glen Daniel Past Accepting new patients

Locations

1832 Harper Rd
Beckley, WV 25801
Phone (681) 207-7129

229 Merchants Walk
Summersville, WV 26651
Phone (304) 872-9206

Interoperability endpoints

  • Direct secure messaging: divya.rajan@wvafn.hcadirect.net
  • Direct secure messaging: aganesh@bcp-wv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1053520577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "681-207-7129",
            "fax_number": "681-207-7132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Merchants Walk",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266511901",
            "country_code": "US",
            "telephone_number": "681-207-7130",
            "fax_number": "681-207-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "DIVYA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "24136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018948",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aganesh@BCP-wv.direct.office.nextgen.com",
            "affiliation": "Y",
            "endpointDescription": "patient portal direct messaging",
            "affiliationName": "Beckley Cardiology, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1832 Harper Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "RAJAN",
            "middle_name": "SURESH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.