MONICA S DIVAKARUNI MD
NPI 1205883972
Internal Medicine - Cardiovascular Disease in Saint Helena, CA

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
999 ADAMS ST STE 106, SAINT HELENA, CA 94574(707) 963-4997 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2018, Sep 20, 2016 (2 updates tracked since 2016).

About Monica S Divakaruni Md NPPES

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

MONICA S DIVAKARUNI MD (NPI 1205883972) is an individual cardiovascular disease provider in Saint Helena, California, licensed in California (A87860) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2003).

NPPES Registry Identity

NPI1205883972
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMONICA S DIVAKARUNICredential: MD
Location Address999 ADAMS ST STE 106Saint Helena, CA 94574-1168
Mailing Address999 Adams St Ste 106Saint Helena, CA 94574-1168
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2003
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 20, 20182 updates tracked since enumeration
NPI 1205883972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A87860
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
999 ADAMS ST STE 106, Saint Helena, CA 94574

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

Monica S Divakaruni 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 ID8527071349
PECOS Enrollment IDI20121009000464
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 29

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.
1,333 services621 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
394 services360 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.
271 services219 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
193 services183 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
151 services132 patients
Insertion of tube in coronary artery for diagnosis with review by radiologist 93454
This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
97 services93 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 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
$145.99 typical visit price
range $65.08 – $192.16
Typical copayment $36.49 (range $16.27 – $48.04)
Most-billed visit code 99204
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers11 claims11 services$90.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers12 claims25 services$33.94 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$15.76 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers15 claims15 services$17.36 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers18 claims108 services$2.48 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

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

Nurse Practitioner (Acute Care)
999 ADAMS ST STE 106
SAINT HELENA, CA 94574

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 Monica Divakaruni's NPI number?

The NPI number for Monica Divakaruni is 1205883972. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Monica Divakaruni located?

Monica Divakaruni practices at 999 Adams St Ste 106, Saint Helena, CA 94574. The listed phone number is (707) 963-4997.

What is Monica Divakaruni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Monica Divakaruni enrolled in Medicare?

Yes. Monica Divakaruni 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.

When was this NPI record last updated?

The NPPES record for Monica Divakaruni was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.