Individual provider Active NPI

Preeti Rajesh Divekar, MD

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1356544589
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD435032 Issued in PA
Practice address
9104 Babcock Blvd
Suite 2110
Pittsburgh, PA 15237-5818
Phone
(412) 499-3540
Fax
(412) 499-3540
NPI assigned
Jun 6, 2007
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X MD435032 PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Suite 2110
Pittsburgh, PA 15237-5818

Mailing address

1882 Pioneer Dr
Sewickley, PA 15143-8585
Phone (412) 499-3540

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081202000312 PA Practitioner - Obstetrics/Gynecology 4981765542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9102 Babcock Blvd
Suite 107
Pittsburgh, PA 15237-5819
Phone (412) 499-3540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD435032PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divekar and Associates - Gynecology Aesthetics and Wellness Center PC CurrentSince Jul 7, 2014 Accepting new patients
Upmc Magee-Womens Hospital Obstetrics & Gynecology Past Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients

Locations

9102 Babcock Blvd
Ste 107
Pittsburgh, PA 15237
Phone (412) 322-2622

9104 Babcock Blvd
Ste 2110
Pittsburgh, PA 15237
Phone (412) 364-4184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1356544589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 PIONEER DR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438585",
            "telephone_number": "412-499-3540",
            "fax_number": "412-499-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 2110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-499-3540",
            "fax_number": "412-499-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVEKAR",
        "first_name": "PREETI",
        "middle_name": "RAJESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.