Divali Docs, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

P5098 Issued in TX

Legal business name

DIVALI DOCS, PLLC

Doing business as

DFW Bariatrics and General Surgery
Minimally Invasive Surgical Associates

Practice address

1411 N Beckley Ave Ste 454
Dallas, TX 75203-1262

Phone

(469) 620-0222

Fax

(469) 620-0223

NPI assigned

Sep 16, 2016

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sachin Kukreja, MDNPI 1528214590

Title

Owner

Phone

(312) 399-7360

Specialties & licenses 1

Addresses

Other names 2

• DFW Bariatrics and General Surgery Doing business as
• Minimally Invasive Surgical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Sachin Suresh Kukreja, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1528214590
  Medicare reassignment Care Compare group Authorized official
• Rebecca Barr, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1770937336
  Medicare reassignment Care Compare group
• Elizabeth A Hooper, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1255587598
  Medicare reassignment Care Compare group
• Lisa Hoang

  • Physician Assistant
  • Dallas, TX
  • NPI 1588438915
  Medicare reassignment
• Jillian Robinson, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
  • NPI 1477916922
  Care Compare group

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1952859126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222",
            "fax_number": "469-620-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031262",
            "telephone_number": "469-620-0222",
            "fax_number": "469-620-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 W Parker Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750933369",
            "country_code": "US",
            "telephone_number": "972-767-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Matlock Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634435",
            "country_code": "US",
            "telephone_number": "181-795-2822",
            "fax_number": "469-620-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVALI DOCS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "KUKREJA",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-399-7360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Bariatrics and General Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minimally Invasive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minimally Invasive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ditta Solutions LLC (Lice Clinics of America DFW)
• Madison Ditta, CAA
• Evan Dittmar
• Austin Jacob Dittrich, PA
• Matthew Gerald Ditzler, MD
• Abhay Ashok Divekar, MD, MBBS
• Diverge and Bloom Counseling, PLLC
• Diversicare Doctors LLC (Diversicare of Lake Highlands)
• Diversicare Treemont LLC (Treemont Healthcare and Rehabilitation Center)
• Divine Behavioral Health Clinic PLLC

• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.