Active NPI
Raja Rajeswari Divi
- Internal Medicine Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N3621
- Practice address
- 1600 11TH St
Cogent Healthcare of Texas, PA
Wichita Falls, TX 76301-4300 - Phone
- (940) 764-3983
- NPI assigned
- Apr 23, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3621 | TX | Primary |
Addresses
Primary practice location
1600 11TH St
Cogent Healthcare of Texas, PA
Wichita Falls, TX 76301-4300
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00834995 | Other | TX | RR MEDICARE |
| 207455101 | Medicaid | TX | |
| 8X9809 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550
4001 Worth St
Dallas, TX 75246-1608
5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
- Baylor Scott and White Medical Center McKinney
- Baylor Scott and White the Heart Hospital Corinth
- Baylor Scott & White the Heart Hospital Plano
- Baylor Scott & White Medical Center - Centennial
- Texoma Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- rdivi225940@direct.sw.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
-
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1083889703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "615-377-5600",
"fax_number": "615-373-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 11TH ST",
"address_2": "COGENT HEALTHCARE OF TEXAS, PA",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014300",
"telephone_number": "940-764-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVI",
"first_name": "RAJA RAJESWARI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00834995",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207455101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X9809",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.