DIVYA KORADIA MD
NPI 1134411051
Family Medicine in Erie, PA

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4247 W RIDGE RD STE 105, ERIE, PA 16506(814) 838-2468(814) 835-4301 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2020, Feb 16, 2017 (2 updates tracked since 2017).

About Divya Koradia Md NPPES

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

DIVYA KORADIA MD (NPI 1134411051) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD453203) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1134411051
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIVYA KORADIACredential: MD
Location Address4247 W RIDGE RD STE 105Erie, PA 16506-1746
Mailing Address4247 W Ridge Rd Ste 105Erie, PA 16506-1746 · (814) 838-2468 · Fax (814) 835-4301
Fax(814) 835-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 11, 2011
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
NPI 1134411051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD453203
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4247 W RIDGE RD STE 105, Erie, PA 16506

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

Divya Koradia 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 ID3274855309
PECOS Enrollment IDI20141201000905
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 5

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.

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.
180 services120 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$98.60 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 19

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

Nurse Practitioner (Family)
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Dietitian, Registered
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506

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 Koradia's NPI number?

The NPI number for Divya Koradia is 1134411051. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Divya Koradia located?

Divya Koradia practices at 4247 W Ridge Rd Ste 105, Erie, PA 16506. The listed phone number is (814) 838-2468.

What is Divya Koradia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Divya Koradia enrolled in Medicare?

Yes. Divya Koradia 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 Koradia affiliated with any hospitals?

According to CMS data, Divya Koradia is affiliated with Saint Vincent Hospital and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Divya Koradia was last updated on October 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.