Active NPI
Divya Pana Shenoy, M.D.
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1215322797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD210002783
- Practice address
- 1225 4TH St NE
Washington, DC 20002-3431 - Phone
- (202) 347-8500
- NPI assigned
- Apr 1, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0095907 | MD | |
| Family Medicine Physician | 207Q00000X | 0101277413 | VA | |
| Family Medicine Physician | 207Q00000X | MD210002783 | DC | Primary |
Addresses
Primary practice location
1225 4TH St NE
Washington, DC 20002-3431
Mailing address
1225 4TH St NE
Washington, DC 20002-3431
Other practice location 1
19650 Club House Rd # 101
Gaithersburg, MD 20886-3003
Phone (202) 347-8512
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 |
|---|---|---|---|
| MD210002783 | DC | MD | Family Medicine Physician |
| D0095907 | MD | MD | Family Medicine Physician |
| 0101277413 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Metropolitan Washington DC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan Washington DC | Past | Accepting new patients |
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.
-
- Gynecology Physician
- Washington, DC
- NPI 1538253786
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Gynecology Physician
- Montgomery Village, MD
- NPI 1245663434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1215322797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 4TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 4TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023431",
"telephone_number": "202-347-8500"
}
],
"practiceLocations": [
{
"address_1": "19650 Club House Rd # 101",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208863003",
"country_code": "US",
"telephone_number": "202-347-8512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHENOY",
"first_name": "DIVYA",
"middle_name": "PANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0095907",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101277413",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD210002783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.