DR. DIVYA SHAKTI MD
NPI 1659559300
Pediatrics - Pediatric Cardiology in Jackson, MS
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Divya Shakti Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Divya Shakti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 202 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.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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.
Which organization bills Medicare for Divya Shakti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divya Shakti reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, MA). 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 Shakti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Divya Shakti accept?
Health plans from Taro Health 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.
# Dr. Divya Shakti, MD · NPI 1659559300
Pediatric Cardiology physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since February 5, 2008.
## Identity
- **NPI:** 1659559300 (Entity type: Individual)
- **Enumerated:** February 5, 2008
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 23419 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2500 NORTH STATE STREET, Jackson, MS 39216
- **Phone:** (601) 984-5250
## 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:** Pratt Pediatric Associates Inc (NPI 1477590511, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 05487537 (MS); Other 998912 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1659559300) · Data from the CMS NPPES public registry.