NPIMap

Individual provider Active NPI

Divya R Pati, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Tucson, AZ
National Provider Identifier
1780029090
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
48561 Issued in AZ
Practice address
2380 N Ferguson Ave
Suite 104
Tucson, AZ 85712-2837
Phone
(520) 324-1010
Fax
(520) 324-0029
NPI assigned
May 1, 2013
Last updated
May 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R72805 AZ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 48561 AZ Primary

Addresses

Primary practice location

2380 N Ferguson Ave
Suite 104
Tucson, AZ 85712-2837

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4780

Other identifiers 1

IdentifierTypeStateIssuer
147298MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531002743 IA Practitioner - EndocrinologyPractitioner - Internal Medicine 4981998721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greene County Medical CenterGroup PAC ID 0143208595, 16 clinicians

Practice addresses (Care Compare)

1000 W Lincoln Way
Jefferson, IA 50129-1645
Phone (515) 386-2488

1221 Pleasant St
Suite 200
Des Moines, IA 50309-1424
Phone (515) 241-8221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72805AZMDInternal Medicine Physician
48561AZMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Greene County Medical Center CurrentSince May 19, 2025 Accepting new patients
Greene County Medical Center Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Greene County Medical Center CurrentSince May 19, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1221 Pleasant St
Ste 170
Des Moines, IA 50309
Phone (515) 241-4300

1221 Pleasant St
Ste 200
Des Moines, IA 50309
Phone (515) 241-8221

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

30 E Highway 6
Waukee, IA 50263
Phone (515) 987-3447

Interoperability endpoints

  • Direct secure messaging: dpati628394@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1780029090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4780",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N FERGUSON AVE",
            "address_2": "SUITE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122837",
            "telephone_number": "520-324-1010",
            "fax_number": "520-324-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATI",
        "first_name": "DIVYA",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72805",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "48561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147298",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.