DIVYA PRAMOD NIMMATOORI MD
NPI 1235727215
Internal Medicine in Phoenix, AZ

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment
18404 N TATUM BLVD STE 101, PHOENIX, AZ 85032(602) 992-1900 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2024, Jan 6, 2021 (2 updates tracked since 2021).

About Divya Pramod Nimmatoori Md NPPES

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

DIVYA PRAMOD NIMMATOORI MD (NPI 1235727215) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (73916) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235727215
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIVYA PRAMOD NIMMATOORICredential: MD
Location Address18404 N TATUM BLVD STE 101Phoenix, AZ 85032-1511
Mailing Address18404 N Tatum Blvd Ste 101Phoenix, AZ 85032-1511 · (602) 992-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 6, 2021
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1235727215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 73916
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

18404 N TATUM BLVD STE 101, Phoenix, AZ 85032

Accepted Insurance

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 Pramod Nimmatoori 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 ID1951714039
PECOS Enrollment IDI20240918001607
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Family Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Family Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Family Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Internal Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Family Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032
Family Medicine
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032

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 Pramod Nimmatoori's NPI number?

The NPI number for Divya Pramod Nimmatoori is 1235727215. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Divya Pramod Nimmatoori located?

Divya Pramod Nimmatoori practices at 18404 N Tatum Blvd Ste 101, Phoenix, AZ 85032. The listed phone number is (602) 992-1900.

What is Divya Pramod Nimmatoori's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Divya Pramod Nimmatoori enrolled in Medicare?

Yes. Divya Pramod Nimmatoori 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.

What insurance does Divya Pramod Nimmatoori accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Divya Pramod Nimmatoori 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 Pramod Nimmatoori was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.