Individual provider Active NPI

Divya Khattar, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1750745550
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
57506 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-3026
Phone
(859) 562-1085
Fax
(859) 257-5152
NPI assigned
Apr 7, 2016
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neonatal-Perinatal Medicine Physician 2080N0001X 57506 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-3026

Mailing address

3333 Burnet Ave # Mlc7009
Cincinnati, OH 45229-3026
Phone (740) 803-7844

Other practice location 1

3333 Burnet Ave # Mlc7009
Cincinnati, OH 45229-3026
Phone (513) 803-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20230621002453 KY Practitioner - Pediatric Medicine 5991163040 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57506KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Health System, Inc. Current Accepting new patients
Saint Joseph Health System, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Jun 13, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
University of Kentucky CurrentSince Jun 13, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
University of Kentucky Past Accepting new patients
Children's Hospital Medical Center PastSince Jun 1, 2020 Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

3333 Burnet Ave
#5018
Cincinnati, OH 45229
Phone (513) 636-4315

3333 Burnet Ave
#7009
Cincinnati, OH 45229
Phone (513) 636-4225

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1750745550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC7009",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "740-803-7844",
            "fax_number": "513-636-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405363026",
            "telephone_number": "859-562-1085",
            "fax_number": "859-257-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave # Mlc7009",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-803-7844",
            "fax_number": "513-636-7905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATTAR",
        "first_name": "DIVYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "57506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.