DR. SHASHI RAJ DIVAKER M.D.
NPI 1275646218
Internal Medicine in Philadelphia, PA

Q: What is Shashi Divaker's NPI number?

The NPI number for Shashi Divaker is 1275646218. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Shashi Divaker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shashi Divaker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment

2840 W DAUPHIN ST, STRAWBERRY MANSION HEALTH CENTER, PHILADELPHIA, PA 19132(215) 685-2400(215) 685-2440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shashi Raj Divaker M.d. NPPES

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

DR. SHASHI RAJ DIVAKER M.D. (NPI 1275646218) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD065696L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1275646218

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHASHI RAJ DIVAKERCredential: M.D.

Location Address2840 W DAUPHIN ST, STRAWBERRY MANSION HEALTH CENTERPhiladelphia, PA 19132-4627

Mailing Address500 S Broad St, Suite 360Philadelphia, PA 19146-1613 · (215) 685-6769 · Fax (215) 685-6732

Phone(215) 685-2400

Fax(215) 685-2440

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275646218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD065696L

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.

2840 W DAUPHIN ST, Philadelphia, PA 19132

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Other Identifiers 2

Medicare UPING87776PA

Medicare ID-Type Unspecified024520EVHPA

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

Dr. Shashi Raj Divaker M.d. 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 ID2668463944

PECOS Enrollment IDI20040524001360

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19132 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$3.45 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 10

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

DR. AURORA DEE TIN M.D.

Pediatrics

2840 W DAUPHIN ST, STRAWBERRY MANSION HEALTH CENTER
PHILADELPHIA, PA 19132

Philadelphia County (215) 685-2400

DR. ELIZABETH ANN WENGER M.D.

Internal Medicine