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DR. DIVYA SISTLA MD
NPI 1093261810
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburgh, PA

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE STE 3B, PITTSBURGH, PA 15213(412) 586-0700(412) 586-9726 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2021, Aug 31, 2016 (2 updates tracked since 2016).

About Dr. Divya Sistla Md NPPES

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

DR. DIVYA SISTLA MD (NPI 1093261810) is an individual endocrinology, diabetes & metabolism provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD472215) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093261810
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. DIVYA SISTLACredential: MD
Location Address3601 5TH AVE STE 3BPittsburgh, PA 15213-3403
Mailing Address150 Cole DrMc Kees Rocks, PA 15136-4103 · (146) 961-0150 · Fax (412) 664-9726
Phone(412) 586-0700
Fax(412) 586-9726
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 31, 2016
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1093261810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD472215
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3601 5TH AVE STE 3B, Pittsburgh, PA 15213
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Divya Sistla Md 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.

PECOS PAC ID2769884378
PECOS Enrollment IDI20210706000572
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services29 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims34 services$6.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers36 claims36 services$181.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURAJ PATEL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 647-5815
DR. WILLIAM REED DOERFLER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
MS. ERIN PATRICIA DOYLE CRNP
Nurse Practitioner (Family)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
JILLIAN ROSE HERSCHLAG MS, RD
Dietitian, Registered
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9737
ERIN E KERSHAW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
SHAILAJA PAREPALLY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
EMILY SARAH RODAK PA-C
Physician Assistant (Medical)
3601 5TH AVE STE 3B, FALK CLINIC, SUITE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700
JESSICA GRIERSON BAUER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE STE 3B
PITTSBURGH, PA 15213
Allegheny County (412) 586-9700

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 Sistla's NPI number?

The NPI number for Divya Sistla is 1093261810. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Divya Sistla located?

Divya Sistla practices at 3601 5th Ave Ste 3B, Pittsburgh, PA 15213. The listed phone number is (412) 586-0700.

What is Divya Sistla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Divya Sistla enrolled in Medicare?

Yes. Divya Sistla 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.

Is Divya Sistla affiliated with any hospitals?

According to CMS data, Divya Sistla is affiliated with Upmc Mckeesport Hospital, Upmc Mercy, Upmc St Margaret, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Divya Sistla was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.