Active NPI
Divya Karjala Chakkaravarthy
- Anesthesiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME180725
- Practice address
- 62 Columbia St
Orlando, FL 32806-1115 - Phone
- (407) 514-3668
- Fax
- (321) 843-2196
- NPI assigned
- Aug 18, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125063539 | IL | |
| Anesthesiology Physician | 207L00000X | ME180725 | FL | Primary |
Addresses
Primary practice location
62 Columbia St
Orlando, FL 32806-1115
Mailing address
62 Columbia St
Orlando, FL 32806-1115
Phone (407) 514-3668
Other practice location 1
555 W Madison St
#3511
Chicago, IL 60661-2514
Phone (989) 854-6622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5654
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
600 S 13TH St
Pekin, IL 61554-4936
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Health Proctor Hospital
- Carle Health Methodist Hospital
- Carle Health Pekin Hospital
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125063539 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Anesthesiology | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Anesthesiology | Current | Accepting new patients |
Locations
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 3
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
- Peoria, IL
- NPI 1710198379
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1124451794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061115",
"telephone_number": "407-514-3668",
"fax_number": "321-843-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061115",
"telephone_number": "407-514-3668",
"fax_number": "321-843-2196"
}
],
"practiceLocations": [
{
"address_1": "555 W Madison St",
"address_2": "#3511",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606612514",
"country_code": "US",
"telephone_number": "989-854-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARJALA CHAKKARAVARTHY",
"first_name": "DIVYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-18",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125063539",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME180725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.