Divya Manda, M.D.

Key facts

NPI

1669905485

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

35.137530 (OH)

Practice address

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

Phone

(614) 627-1410

NPI assigned

Apr 8, 2017

Sex

Female

Sole proprietor

Yes

Organizations & group practices 10

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.

• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Circleville, OH · NPI 1578985453
  Medicare reassignment Care Compare group NPD OH
• Adena Medical Group LLC Family Medicine Physician · Chillicothe, OH · NPI 1235468083
  Medicare reassignment NPD FAMILY MEDICINE · OH
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1194071050
  Care Compare group NPD
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1497817142
  Care Compare group NPD
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1710310594
  Care Compare group NPD
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1881756526
  Care Compare group NPD
• Columbus Neighborhood Health Center, Inc. Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1346304151
  Care Compare group NPD
• Columbus Neighborhood Health Center, Inc. Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1669535373
  Care Compare group NPD
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1811747207
  Care Compare group
• Columbus Neighborhood Health Center Inc Federally Qualified Health Center (FQHC) · Columbus, OH · NPI 1851474993
  Care Compare group

Medicare Care Compare profile

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 Inc (31 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2022.

{
    "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": []
}

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