Active NPI
Divya Sivakumar, D.O., M.A.
- Neurology Physician
- Lake Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2021046762
- Practice address
- 2300 HRC Plaza Dr
Lake Saint Louis, MO 63367-2367 - Phone
- (636) 425-4673
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2021046762 | MO | Primary |
Addresses
Primary practice location
2300 HRC Plaza Dr
Lake Saint Louis, MO 63367-2367
Mailing address
2300 HRC Plaza Dr
Lake Saint Louis, MO 63367-2367
Phone (636) 425-4673
Other practice location 1
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 629-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528419587 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 HRC Plaza Dr
Lake Saint Louis, MO 63367-2367
Phone (636) 425-4673
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021046762 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Headache and Neurology LLC | Neurology | Current | Accepting new patients |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients |
Locations
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
2300 Hrc Plaza Dr
Lake Saint Louis, MO 63367
Phone (636) 425-4673
621 S New Ballas Rd
Ste 6005B
Saint Louis, MO 63141
Phone (314) 251-6075
621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
3862 Mexico Rd
Saint Peters, MO 63303
Phone (636) 387-5100
1021 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 787-7685
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- divyasivakumar@hrmg.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Neurology Physician
- Lake Saint Louis, MO
- NPI 1831971829
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1528419587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HRC PLAZA DR",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633672367",
"telephone_number": "636-425-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HRC PLAZA DR",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633672367",
"telephone_number": "636-425-4673"
}
],
"practiceLocations": [
{
"address_1": "6500 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016890",
"country_code": "US",
"telephone_number": "573-629-3500",
"fax_number": "573-629-3515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIVAKUMAR",
"first_name": "DIVYA",
"credential": "D.O., M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2021046762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528419587",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.