Divya Angra

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101271502 Issued in VA

Practice address

1860 Town Center Dr Ste 340
Reston, VA 20190-5912

Phone

(301) 244-9069

Fax

(301) 238-7637

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

George Washington University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sapphire Dermatology LLCGroup PAC ID 0244608552, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sapphire Dermatology LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1245959402

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Tono Medical Services P.C.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1518612811
  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1053844530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 285",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-244-9069",
            "fax_number": "301-238-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 340",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912",
            "telephone_number": "301-244-9069",
            "fax_number": "301-238-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Lockwood Dr Ste 285",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209011556",
            "country_code": "US",
            "telephone_number": "301-244-9069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGRA",
        "first_name": "DIVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-01-23",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "AU2496291",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101271502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Renee Anderson, DNP, FNP-BC
• Deborah Lynn Andrews-Chance, WHNP
• Jay Stuart Andrews, PH.D., LMHC
• Gayatri Angara
• Angela Baker Howard, Pmhnp-BC, LLC
• Anil Vuggam PLLC
• Rishitha Chowdary Anumola
• Ogechi Christine Anyaoku, M.D.
• Ksheera Appachu, DDS
• Ava Arabshahi, DDS

• Dermatology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.