Divyasudha Mohan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS019595 Issued in PA

Practice address

1139 E Luzerne St
Philadelphia, PA 19124-5234

Phone

(215) 537-5094

Fax

(215) 537-5096

NPI assigned

May 26, 2016

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

Other names 1

• Dr. Divya Mohan Other name

Medicare fee-for-service enrollment

Enrolled in PA

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

Family Practice

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
• Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Aria Health Physician Services

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1750949806
  Medicare reassignment Care Compare group NPD
• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment Care Compare group NPD
• Aria Health Physician Services

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD
• Aria Health Physician Services

  • Emergency Registered Nurse
  • Philadelphia, PA
  • NPI 1598893893
  NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD

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

• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• Abington Memorial Hospital

  • General Acute Care Hospital
  • Abington, PA
  • NPI 1811992084
  Care Compare affiliation
• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1336597780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E LUZERNE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245234",
            "telephone_number": "215-537-5094",
            "fax_number": "215-537-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "DIVYASUDHA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019595",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS019595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "MOHAN",
            "prefix": "DR.",
            "credential": "D.O",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nisa Mohammed, MD
• Saad Mohammed
• Assad Ismaeel Adam Mohammedzein, M.D.
• Dalmar Mohamod, DO
• Chittur R Mohan, M.D.
• Nandakumar Mohan
• Naveen Mohan, DDS
• Neena Mohan, M.D.
• Suyash Mohan, MD
• Samer Mohandes, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.