Divya Lakshmi Indrakanti, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000069208 Issued in TN

Practice address

112 Stonebridge Blvd
Jackson, TN 38305-2038

Phone

(731) 664-1994

NPI assigned

Apr 11, 2019

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Ophthalmology

Education

Wright State University Boonshoft School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Tennessee Eye Associates PCGroup PAC ID 4789780495, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score

88.59 of 100Reported as group

Quality

92.12

Improvement activities

40

Cost

72.47

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drindrakanti@hugheseye.direct.eyemdemr.com

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.

• West Tennessee Eye Associates PC

  dba The Hughes Eye Center

  • Corneal and Contact Management Optometrist
  • Jackson, TN
  • NPI 1811054232
  Medicare reassignment Care Compare group NPD
• Rogers Eye Center PC

  • Optometrist
  • Savannah, TN
  • NPI 1972095172
  NPD

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1396208781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MOSES DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056938",
            "telephone_number": "513-652-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052038",
            "telephone_number": "731-664-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRAKANTI",
        "first_name": "DIVYA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000069208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Ikerd
• Imind Geriatrics and Behavioral Health LLC
• Imind Mental Health and Wellness LLC
• Impact Behavioral Counseling LLC
• Independent Physical Therapy LLC
• Infectious Disease Consultants of Jackson, PC
• Infinite Rehab and Wellness LLC
• Lakisha T Ingram, B.A
• Alissa Carol Inman, P.T.
• Dustin P Inman, MD

• Ophthalmology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.