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DIVYA R KEERTHY MD
NPI 1093178352
Pediatrics - Neonatal-Perinatal Medicine in Flushing, NY

Active since April 03, 2016PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(860) 576-3693 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2022, Jul 6, 2022, Apr 3, 2016 (3 updates tracked since 2016).

About Divya R Keerthy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVYA R KEERTHY MD (NPI 1093178352) is an individual neonatal-perinatal medicine provider in Flushing, New York, licensed in New York (297913) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1093178352
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDIVYA R KEERTHYCredential: MD
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address37-05 30th Street, Apt 407Long Island City, NY 11101-1033 · (860) 576-3693
Phone(860) 576-3693
Sole ProprietorNo
Enumeration DateApril 3, 2016
Last NPPES UpdateDecember 23, 20223 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
✔ NPI 1093178352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 297913
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5645 MAIN ST, Flushing, NY 11355
Open in Google Maps ↗

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-5437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Divya Keerthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Queens Medicine And Surgery, P.C.
Same address
Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
NPI 1740792233 (718) 661-8706

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Internal Medicine (Infectious Disease)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Keerthy's NPI number?

The NPI number for Divya Keerthy is 1093178352. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Divya Keerthy located?

Divya Keerthy practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (860) 576-3693.

What is Divya Keerthy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Divya Keerthy enrolled in Medicare?

Yes. Divya Keerthy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Divya Keerthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Keerthy reassigns Medicare benefits to New York Queens Medicine And Surgery, P.C. (Flushing, NY). 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 Keerthy'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 Keerthy was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.