Divya Manda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.137530 Issued in OH

Practice address

237 W Schrock Rd Ste B
Westerville, OH 43081-2874

Phone

(614) 627-1410

NPI assigned

Apr 8, 2017

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Family Practice

Education

Medical College of Wisconsin, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Neighborhood Health Center IncGroup PAC ID 3678469129, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: divya.manda@mchs.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.

• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
  • NPI 1578985453
  Medicare reassignment Care Compare group NPD
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1194071050
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1497817142
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1710310594
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1881756526
  NPD
• Columbus Neighborhood Health Center, Inc.

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1346304151
  NPD
• Columbus Neighborhood Health Center, Inc.

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1669535373
  NPD

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1669905485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-627-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Olentangy River Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143467",
            "country_code": "US",
            "telephone_number": "614-533-6611",
            "fax_number": "614-566-1429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133194",
            "country_code": "US",
            "telephone_number": "614-566-0950",
            "fax_number": "614-566-0766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 E Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154602",
            "country_code": "US",
            "telephone_number": "614-788-5400",
            "fax_number": "614-566-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDA",
        "first_name": "DIVYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.137530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Divya.manda@mchs.com",
            "affiliation": "N",
            "endpointDescription": "My Carmel direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "237 W Schrock Rd Ste B",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430812874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Malley, PHARMD
• Monica Mallue
• Jennifer Malone, LSW
• Minas G Mamay
• Toscha Manahan
• Patrick Nicholas Mangino, AU.D., F.A.A.A.
• Gibran Said Mangui, DMD
• Carlie Mankin, A.T.C.
• Jessica L Manly, CNP
• Manor Care of Westerville Oh LLC (Heartland of Uptown Westerville)

• Family Medicine Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.