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DR. DIVYA JOSEPH AICKARA MD
NPI 1154940690
Dermatology - MOHS-Micrographic Surgery in Tampa, FL

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
11601 SHELDON RD, TAMPA, FL 33626(813) 324-6630(813) 926-1500 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Apr 14, 2020 (2 updates tracked since 2020).

About Dr. Divya Joseph Aickara Md NPPES

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

DR. DIVYA JOSEPH AICKARA MD (NPI 1154940690) is an individual mohs-micrographic surgery provider in Tampa, Florida, licensed in Florida (ME169912) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Florida State University College Of Medicine (2020).

NPPES Registry Identity

NPI1154940690
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameDR. DIVYA JOSEPH AICKARACredential: MD
Location Address11601 SHELDON RDTampa, FL 33626-4306
Mailing Address4197 Woodlands PkwyPalm Harbor, FL 34685-3493 · (813) 333-1512 · Fax (813) 333-1561
Phone(813) 324-6630
Fax(813) 926-1500
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1154940690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · ME169912
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
11601 SHELDON RD, Tampa, FL 33626
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Secondary Practice Locations 3

Location 15310 Clark Rd Ste 201Sarasota, FL 34233-3229 · Phone (941) 925-3627 · Fax (866) 405-4932
Location 24197 Woodlands PkwyPalm Harbor, FL 34685-3493 · Phone (727) 778-6381 · Fax (727) 786-3855
Location 3600 Lakeview Rd Ste AClearwater, FL 33756-3355 · Phone (727) 250-1115 · Fax (727) 475-9015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Divya Joseph Aickara 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 ID7517486889
PECOS Enrollment IDI20250529002469
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 Reassignments

2

Medicare enrollment records show Divya Aickara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palm Harbor Dermatology PA
7.6 mi
Dermatology
4197 WOODLANDS PKWY
Palm Harbor, FL 34685
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1497927016 (727) 786-3810
Divani Dermatology LLC
130 mi
Dermatology
8745 N US HIGHWAY 1
Sebastian, FL 32958
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1255986113 (772) 217-5362

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 33626 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

BRIANNA CASTILLO M.D.
Dermatology (MOHS-Micrographic Surgery)
11601 SHELDON RD
TAMPA, FL 33626
Hillsborough County (813) 324-6630
MS. MICHELLE LYNNE JORDAN PA-C
Physician Assistant (Medical)
11601 SHELDON RD
TAMPA, FL 33626
Hillsborough County (813) 324-6630
ISABEL C. VALENCIA MD
Dermatology
11601 SHELDON RD
TAMPA, FL 33626
Hillsborough County (813) 324-6630
JENNIFER K RICHERT APRN
Nurse Practitioner (Family)
11601 SHELDON RD
TAMPA, FL 33626
Hillsborough County (813) 324-6630

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 Aickara's NPI number?

The NPI number for Divya Aickara is 1154940690. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Divya Aickara located?

Divya Aickara practices at 11601 Sheldon Rd, Tampa, FL 33626. The listed phone number is (813) 324-6630.

What is Divya Aickara's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Divya Aickara enrolled in Medicare?

Yes. Divya Aickara 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 organizations bill Medicare for Divya Aickara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Aickara reassigns Medicare benefits to 2 organizations: Palm Harbor Dermatology PA (Palm Harbor, FL) and Divani Dermatology LLC (Sebastian, FL). Each 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 Aickara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divya Aickara accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Divya Aickara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divya Aickara was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.