DIVYA MATTATHIL
NPI 1013874817
Nurse Practitioner - Primary Care in Sacramento, CA

Q: 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.

Q: What is Divya Mattathil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: 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 6 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.

Active since January 06, 2026PECOS Enrolled

1500 21ST ST, SACRAMENTO, CA 95811(916) 443-3299 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1013874817

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameDIVYA MATTATHIL

Location Address1500 21ST STSacramento, CA 95811-5216

Mailing Address1500 21st StSacramento, CA 95811-5216 · (916) 443-3299

Phone(916) 443-3299

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 6, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1013874817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95035843

1500 21ST ST, Sacramento, CA 95811

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Mattathil is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072093186

PECOS Enrollment IDI20260217003192

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

SUSAN HOPE DUNDAS PA-C

Physician Assistant