NPIMap

Individual provider Active NPI

Divisha Raheja, MD

  • Neurology Physician
  • Bethlehem, PA
National Provider Identifier
1609059807
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD442236 Issued in PA
Practice address
1417 8TH Ave
Bethlehem, PA 18018
Phone
(484) 526-5210
Fax
(866) 568-6561
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD442236 PA Primary

Addresses

Primary practice location

1417 8TH Ave
Bethlehem, PA 18018

Mailing address

1417 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-5210

Other identifiers 4

IdentifierTypeStateIssuer
102705482MedicaidPA
30118993OtherPAAMERIHEALTH MERCY - WMG
418493OtherPAUPMC
2701220OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000432 PA Practitioner - Neurology 6103081245 Reassigns benefits to 2 organizations
I20190110002097 NJ Practitioner - Neurology 6103081245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1417 8TH Ave
St Luke'S Neurology Associates
Bethlehem, PA 18018-0000
Phone (484) 526-5210

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Nov 21, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Apr 1, 2020 Accepting new patients
St. Luke'S Physician Group, Inc Neurology CurrentSince Jul 15, 2018 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 15, 2018 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Nov 21, 2018 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

5445 Lanark Rd
Ste 202
Center Valley, PA 18034
Phone (484) 526-5740

2403 Butler St
Easton, PA 18042
Phone (484) 822-5405

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1609059807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210",
            "fax_number": "866-568-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18018",
            "telephone_number": "484-526-5210",
            "fax_number": "866-568-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEJA",
        "first_name": "DIVISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD442236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102705482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "30118993",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "418493",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2701220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.