DIVYA MATTATHIL
NPI 1013874817
Nurse Practitioner - Primary Care in Sacramento, CA
About Divya Mattathil NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVYA MATTATHIL (NPI 1013874817) is an individual primary care provider in Sacramento, California, licensed in California (95035843) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Divya Mattathil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Divya Mattathil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95814
- Reassigned Medicare billing, California enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Divya Mattathil's NPI number?
The NPI number for Divya Mattathil is 1013874817. It was assigned to this individual provider in the NPPES registry on January 6, 2026.
Where is Divya Mattathil located?
Divya Mattathil practices at 1500 21st St, Sacramento, CA 95811. The listed phone number is (916) 443-3299.
What is Divya Mattathil's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Divya Mattathil enrolled in Medicare?
Yes. Divya Mattathil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Divya Mattathil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divya Mattathil reassigns Medicare benefits to Cares Community Health (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divya Mattathil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Divya Mattathil was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Divya Mattathil · NPI 1013874817
Primary Care physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since January 6, 2026.
## Identity
- **NPI:** 1013874817 (Entity type: Individual)
- **Enumerated:** January 6, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95035843 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 21ST ST, Sacramento, CA 95811-5216
- **Phone:** (916) 443-3299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cares Community Health (NPI 1447297379, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1013874817) · Data from the CMS NPPES public registry.