Divya Bacharanianda Muthappa, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P5692 Issued in TX

Practice address

19260 Stone Oak Pkwy Ste 105
San Antonio, TX 78258

Phone

(210) 402-3456

Fax

(210) 402-3233

NPI assigned

Jul 6, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medchoice Primary Care PLLCGroup PAC ID 5890132930, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• River City Hospice & Palliative Care Hospice, San Antonio, TX, CCN 671655
• Cibolo Creek Nursing home, Boerne, TX, CCN 676240

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBAEDD

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.

• Medchoice Primary Care PLLC

  • Internal Medicine Physician
  • Bulverde, TX
  • NPI 1023890332

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD

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

• Medina County Hospital District

  • Skilled Nursing Facility
  • Boerne, TX
  • NPI 1386876753

  Nursing home

  Care Compare affiliation
• Real Life Healthcare Services, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1033434501

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1689803124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583365",
            "telephone_number": "210-402-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-402-3456",
            "fax_number": "210-402-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 N Broad St",
            "address_2": "Apt 410",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071014",
            "country_code": "US",
            "telephone_number": "214-354-6908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHAPPA",
        "first_name": "DIVYA",
        "middle_name": "BACHARANIANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322793601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mark Mussett, PHD
• Anila Mustafa, MD
• Mohammed Khalid Mustafa, CPT
• Emily Grace Muszynski, PSY.D.
• Briana Muth
• Suneetha Muthyala, M.D.
• Margaret Mutizwa, REGISTERED NURSE
• Tera Muto
• Mark David Mutschink, PT
• Gabriella Lombardo Mutschlechner, FNP-C

• All providers in San Antonio, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.