Active NPI
Divya Reddy Gavini, MD
- Family Medicine Physician
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35129
- Practice address
- 651 Colliers Way Ste 413
Weirton, WV 26062-5055 - Phone
- (304) 797-6200
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 35129 | WV | Primary |
Addresses
Primary practice location
651 Colliers Way Ste 413
Weirton, WV 26062-5055
Mailing address
651 Colliers Way Ste 300
Weirton, WV 26062-5058
Other practice location 1
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 330-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
651 Colliers Way
Weirton, WV 26062-5055
Phone (304) 797-6666
Hospital & facility affiliations
- Weirton Medical Center Home Health
- Weirton Medical Center, Inc
- Weirton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WMC Physician Practices LLC | Current | Accepting new patients | |
| WMC Physician Practices LLC | Current | Accepting new patients | |
| Weirton Medical Center, Inc | Past | Accepting new patients |
Locations
651 Colliers Way
Ste 413
Weirton, WV 26062
Phone (304) 723-7000
651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404
651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433
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.
-
- Internal Medicine Physician
- Weirton, WV
- NPI 1104280213
-
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weirton, WV
- NPI 1922009505
-
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1487388385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 COLLIERS WAY STE 300",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 COLLIERS WAY STE 413",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625055",
"telephone_number": "304-797-6200"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-330-7661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAVINI",
"first_name": "DIVYA",
"middle_name": "REDDY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "35129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.