DIVYA MOORTHY MD
NPI 1427716315
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: 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.

Q: 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.

Q: 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.

Active since December 07, 2021PECOS Enrolled

1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427716315

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDIVYA MOORTHYCredential: MD

Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139

Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139 · (718) 240-5000

Phone(718) 240-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1427716315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BROOKDALE PLZ, Brooklyn, NY 11212

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Moorthy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981112919

PECOS Enrollment IDI20250801001418

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.

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.

MADI LINDAUER MD

Emergency Medicine