Individual provider Active NPI

Divya Kelath Shah, MD

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1366568560
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD454786 Issued in PA
Practice address
800 Spruce St
Philadelphia, PA 19107-6130
Phone
(215) 829-2345
Fax
(215) 829-3365
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD454786 PA
Reproductive Endocrinology Physician 207VE0102X MD454786 PA Primary

Addresses

Primary practice location

800 Spruce St
Philadelphia, PA 19107-6130

Mailing address

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151007002868 PA Practitioner - Obstetrics/Gynecology 4082864392 Reassigns benefits to 2 organizations
I20250903002760 NJ Practitioner - Obstetrics/Gynecology 4082864392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
1 West Gates Helen O. Dickens Center of Wom
Philadelphia, PA 19104-4206
Phone (215) 662-2730

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2025 Accepting new patients
Lancaster General Hospital CurrentSince Jun 30, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 24, 2015 Accepting new patients
Lancaster General Hospital Current Accepting new patients
University of Penn-Medical Group Reproductive Endocrinology CurrentSince Aug 24, 2015 Accepting new patients
Lancaster General Hospital Obstetrics & Gynecology CurrentSince Jun 30, 2025 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 180
Plainsboro, NJ 08536
Phone (215) 662-2970

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

2112 Harrisburg Pike
Ste 110
Lancaster, PA 17601
Phone (617) 840-4786

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-6100

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

145 King of Prussia Rd
Ste 303
Wayne, PA 19087

145 King of Prussia Rd
Ste 302
Wayne, PA 19087
Phone (610) 902-2500

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Interoperability endpoints

  • Direct secure messaging: dshah270524@direct-lghealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1366568560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIVYA",
        "middle_name": "KELATH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD454786",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD454786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.