DR. DIVYA JATINKUMAR PATEL M.D.
NPI 1609989870
Specialist in Rocky Mount, NC

Q: What is Divya Patel's NPI number?

The NPI number for Divya Patel is 1609989870. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Divya Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Divya Patel was last updated on March 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 15, 2006PECOS EnrolledAccepts Medicare Assignment

94.36/100

CMS Quality Rating

230 N WINSTEAD AVE, ROCKY MOUNT, NC 27804(252) 801-9998(252) 210-3482 Get Directions Write a Review

NPPES record last updated: March 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Divya Jatinkumar Patel M.d. NPPES

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

DR. DIVYA JATINKUMAR PATEL M.D. (NPI 1609989870) is an individual specialist in Rocky Mount, North Carolina, licensed in North Carolina (200401300) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1609989870

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. DIVYA JATINKUMAR PATELCredential: M.D.

Location Address230 N WINSTEAD AVERocky Mount, NC 27804-2225

Mailing Address230 N Winstead AveRocky Mount, NC 27804-2225 · (252) 801-9998 · Fax (252) 210-3482

Phone(252) 801-9998

Fax(252) 210-3482

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 15, 2006

Last NPPES UpdateMarch 7, 2015

✔ NPI 1609989870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 200401300

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

230 N WINSTEAD AVE, Rocky Mount, NC 27804

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Other Identifiers 4

Other2035293CNC · Medicare Id-type Unspecified

Medicare UPINH99121NC

Other2035293BNC · Medicare Id-type Unspecified

Medicaid89138R5NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Divya Jatinkumar Patel 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 ID8325935133

PECOS Enrollment IDI20050202000063

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 Divya Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uma Pain & Spine Clinic, PLLC

Same address

Pain

230 N WINSTEAD AVE
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment

NPI 1013332642 (252) 801-9998

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

Areas of Expertise CMS Part B claims 14

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.

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

4,942 services196 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

4,688 services189 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,115 services147 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,476 services239 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

1,408 services191 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.

645 services204 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

286 services74 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

197 services57 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

79 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services31 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

38 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

25 services16 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

25 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340107

Location111 Hospital DrTarboro, NC 27886 · Edgecombe County

Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340147

Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County

Emergency services Birthing friendly

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340151

Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County

Emergency services Birthing friendly

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.

94.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

82.19

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

67%57 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%8,063 patients5/55-star benchmark: 100%

Falls: Plan of Care

100%62 patients

Falls: Screening for Future Fall Risk

99%505 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%1,076 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 90% · 969 patients

Patients screened: 92% · 969 patients

88%188 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier12 claims12 services$10.14 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 2

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

UMA PAIN & SPINE CLINIC, PLLC

Clinic/Center (Pain)

230 N WINSTEAD AVE
ROCKY MOUNT, NC 27804

Nash County (252) 801-9998

ANGELICA ADKINS CHARLES FNP

Nurse Practitioner (Family)

230 N WINSTEAD AVE
ROCKY MOUNT, NC 27804

Nash County (252) 801-9998

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 Patel's NPI number?

The NPI number for Divya Patel is 1609989870. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Divya Patel located?

Divya Patel practices at 230 N Winstead Ave, Rocky Mount, NC 27804. The listed phone number is (252) 801-9998.

What is Divya Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Divya Patel enrolled in Medicare?

Yes. Divya Patel 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.

Which organization bills Medicare for Divya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Patel reassigns Medicare benefits to Uma Pain & Spine Clinic, PLLC (Rocky Mount, NC). 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 Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divya Patel accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Divya Patel 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.

Is Divya Patel affiliated with any hospitals?

According to CMS data, Divya Patel is affiliated with Vidant Edgecombe Hospital, Unc Health Nash and Ecu Health North Hospital.

When was this NPI record last updated?

The NPPES record for Divya Patel was last updated on March 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.