Individual provider Active NPI

Divya Sadhwani Haryani, MD

  • Dermatology Physician
  • Sebastian, FL
National Provider Identifier
1497134498
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME135907 Issued in FL
Practice address
8745 N US Highway 1
Sebastian, FL 32958-7524
Phone
(772) 217-5362
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME135907 FL Primary

Addresses

Primary practice location

8745 N US Highway 1
Sebastian, FL 32958-7524

Mailing address

PO Box 700305
Wabasso, FL 32970-0305
Phone (772) 217-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191008002427 FL Practitioner - Dermatology 5193020881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divani Dermatology LLCGroup PAC ID 2961733803, 13 clinicians

Practice addresses (Care Compare)

8745 N US Hwy 1
Sebastian, FL 32958-7524
Phone (772) 217-5362

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as individual
Quality
93.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision87
Removal of skin lesions931
Removal of skin cancer513
Removal or shaving of skin growth98
Skin biopsy379

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divani Dermatology LLC Single Specialty CurrentSince Aug 5, 2019 Accepting new patients

Locations

311 Barefoot Blvd
Ste 1
Barefoot Bay, FL 32976
Phone (772) 217-5362

2571 W Eau Gallie Blvd
Ste 2
Melbourne, FL 32935
Phone (321) 777-9091

8701 N US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 217-5362

8745 N US Highway 1
Sebastian, FL 32958
Phone (772) 217-5362

4800 20th St
Vero Beach, FL 32966
Phone (772) 217-5362

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1497134498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700305",
            "city": "WABASSO",
            "state": "FL",
            "postal_code": "329700305",
            "telephone_number": "772-217-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 N US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329587524",
            "telephone_number": "772-217-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARYANI",
        "first_name": "DIVYA",
        "middle_name": "SADHWANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME135907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.