DIVYA MOORTHY MD
NPI 1427716315
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Divya Moorthy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVYA MOORTHY MD (NPI 1427716315) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divya Moorthy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Divya Moorthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
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 Moorthy's NPI number?
The NPI number for Divya Moorthy is 1427716315. It was assigned to this individual provider in the NPPES registry on December 7, 2021.
Where is Divya Moorthy located?
Divya Moorthy practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.
What is Divya Moorthy's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Divya Moorthy enrolled in Medicare?
Yes. Divya Moorthy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Divya Moorthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divya Moorthy reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Divya Moorthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Divya Moorthy was last updated on December 7, 2021. 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.
# Divya Moorthy, MD · NPI 1427716315
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 7, 2021.
## Identity
- **NPI:** 1427716315 (Entity type: Individual)
- **Enumerated:** December 7, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BROOKDALE PLZ, Brooklyn, NY 11212-3139
- **Phone:** (718) 240-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427716315) · Data from the CMS NPPES public registry.