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DR. DIVYA SHAKTI MD
NPI 1659559300
Pediatrics - Pediatric Cardiology in Jackson, MS

Active since February 05, 2008PECOS Enrolled
2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-5250 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017, May 23, 2017 (3 updates tracked since 2017).

About Dr. Divya Shakti Md NPPES

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

DR. DIVYA SHAKTI MD (NPI 1659559300) is an individual pediatric cardiology provider in Jackson, Mississippi, licensed in Mississippi (23419) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659559300
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. DIVYA SHAKTICredential: MD
Location Address2500 NORTH STATE STREETJackson, MS 39216
Mailing Address2500 North State StreetJackson, MS 39216 · (601) 984-5250
Phone(601) 984-5250
Sole ProprietorYes
Enumeration DateFebruary 5, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1659559300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MS · 23419
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 4301090267 (MI)
2500 NORTH STATE STREET, Jackson, MS 39216
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Other Names 1

Former Name (1)Dr. Divya Shakti Fnu

Other Identifiers 2

Medicaid05487537MS
Other998912MI · Dmc Employee Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

MR. BRADFORD STEELE MARTIN FNP-C
Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Hinds County (601) 815-3045
EMILY BRUMFIELD NP
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5500
KIMBERLY C. COVINGTON TARVER MD
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Hinds County (601) 984-6426
MR. MARCELO EDUARDO RAINS M.D.
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. CELSO E. GOMEZ-SANCHEZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5525
MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 815-4128
DR. KENNETH R. BENNETT MD
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5678
DR. GUY DOUGLAS CAMPBELL MD
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Hinds County (601) 984-5650

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 Shakti's NPI number?

The NPI number for Divya Shakti is 1659559300. It was assigned to this individual provider in the NPPES registry on February 5, 2008. The provider is also known as Dr. Divya Shakti Fnu.

Where is Divya Shakti located?

Divya Shakti practices at 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 984-5250.

What is Divya Shakti's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Divya Shakti enrolled in Medicare?

Yes. Divya Shakti is registered in the Medicare PECOS enrollment system.

What insurance does Divya Shakti accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Divya Shakti 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 Shakti was last updated on July 21, 2022. 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.