Organization Active NPI

Divekar and Associates - Gynecology Aesthetics and Wellness Center PC

  • Gynecology Physician
  • Pittsburgh, PA
National Provider Identifier
1811305162
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD435032 Issued in PA
Legal business name
DIVEKAR AND ASSOCIATES - GYNECOLOGY AESTHETICS AND WELLNESS CENTER PC
Practice address
9102 Babcock Blvd Ste 107
Pittsburgh, PA 15237-5819
Phone
(412) 499-3540
Fax
(412) 499-3210
NPI assigned
Jul 31, 2014
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Mrs. Preeti Rajesh Divekar, MDNPI 1356544589
Title
President
Phone
(412) 499-3540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD435032 PA Primary

Addresses

Primary practice location

9102 Babcock Blvd Ste 107
Pittsburgh, PA 15237-5819

Mailing address

1882 Pioneer Dr
Sewickley, PA 15143-8585
Phone (412) 499-3540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150218002028 PA Part B Supplier - Clinic/Group Practice 0648595462 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2093211Divekar & Associates9102 Babcock Blvd, Suite 107, Pittsburgh, PA 15237Provider-performed microscopyMar 23, 2027

National Provider Directory

National Provider Directory

Locations

9104 Babcock Blvd
Ste 2110
Pittsburgh, PA 15237
Phone (412) 364-4184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1811305162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 PIONEER DR",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438585",
            "telephone_number": "412-499-3540",
            "fax_number": "412-499-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 BABCOCK BLVD STE 107",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375819",
            "telephone_number": "412-499-3540",
            "fax_number": "412-499-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVEKAR AND ASSOCIATES - GYNECOLOGY AESTHETICS AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "DIVEKAR",
        "authorized_official_first_name": "PREETI",
        "authorized_official_middle_name": "RAJESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-499-3540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD435032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.