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DR. ABHAY ASHOK DIVEKAR MD, MBBS
NPI 1215125208
Pediatrics - Pediatric Cardiology in Dallas, TX

Active since October 04, 2007PECOS Enrolled
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 456-2333(214) 456-2333 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 19, 2022, Aug 12, 2021, Nov 14, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Abhay Ashok Divekar Md, Mbbs NPPES

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

DR. ABHAY ASHOK DIVEKAR MD, MBBS (NPI 1215125208) is an individual pediatric cardiology provider in Dallas, Texas, licensed in Texas (T3461) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215125208
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. ABHAY ASHOK DIVEKARCredential: MD, MBBS
Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-9063
Mailing Address5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-9063
Phone(214) 456-2333
Fax(214) 456-2333
Sole ProprietorNo
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 19, 20225 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1215125208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in TX · T3461✔ Licensed in KS · 04-39416✔ Licensed in MO · 2016032920✔ Licensed in IA · 37499✔ Licensed in CO · DR.0057261
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390
Open in Google Maps ↗

Other Identifiers 1

Other71365IA · Wellmark Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abhay Ashok Divekar Md, Mbbs 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 Abhay Divekar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
Same address
Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1083669766 (214) 645-0624

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

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

DR. JOSEPH KASSAB MD, MS
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3111
LEXUS DELICIA WILSON
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1500
DR. MAAZ AHSAN MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DANIELA ALVAREZ
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-2168
ACILE NAHLAWI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DR. BRANDON WEST YOUSSI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
KAILYN MAI LE PA-C
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1701
DR. ASHLYN RENEE TERRELL DO
Anesthesiology
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-6800

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 Abhay Divekar's NPI number?

The NPI number for Abhay Divekar is 1215125208. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Abhay Divekar located?

Abhay Divekar practices at 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390. The listed phone number is (214) 456-2333.

What is Abhay Divekar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Abhay Divekar enrolled in Medicare?

Yes. Abhay Divekar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abhay Divekar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhay Divekar reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Abhay Divekar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhay Divekar accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Harbor Health list Abhay Divekar 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 Abhay Divekar was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.