DIVYA MOODALBAIL
NPI 1720265929
Pediatrics - Pediatric Nephrology in Santa Clara, CA

NPI Status: Active since January 30, 2008

Contact Information

710 LAWRENCE EXPY
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-1240
Fax: (408) 851-1240

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Nephrology
PECOS Enrolled

About DIVYA MOODALBAIL

This page provides the complete NPI Profile along with additional information for Divya Moodalbail, a pediatrician established in Santa Clara, California with a medical specialization in Pediatrics, focusing in pediatric nephrology . The healthcare provider is registered in the NPI registry with number 1720265929 assigned on January 2008. The practitioner's primary taxonomy code is 2080P0210X with license number CA (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1720265929
Provider Name: DIVYA MOODALBAIL
Other Name: DIVYA MOODALBAIL MD
Other Name Type: Other Name (5)
Gender: Female
Entity Type: Individual
Location Address: 710 LAWRENCE EXPY SANTA CLARA, CA 95051
Location Phone: (408) 851-1240
Location Fax: (408) 851-1240
Mailing Address: 710 LAWRENCE EXPY SANTA CLARA, CA 95051
Is Sole Proprietor?: No
Enumeration Date: 01-30-2008
Last Update Date: 01-10-2022
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A pediatrician like Divya Moodalbail is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Nephrology
Taxonomy Code: 2080P0210X
Type: Allopathic & Osteopathic Physicians
License No.: CA
License State: CA
Taxonomy Description: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Medicare Participation & PECOS Enrollment Status

Divya Moodalbail is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	2	0	2	6	5	9	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	4	0	4	6	10	9	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 6 + 1 + 0 + 9 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1720265929 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

LUCY SONG M.D.

Internal Medicine

(Hematology & Oncology)

710 LAWRENCE EXPY
ONCOLOGY DEPT #440
SANTA CLARA, CA
ZIP 95051

About DIVYA MOODALBAIL

Location Map

Specialty - Primary Taxonomy

Pediatrics Pediatric Nephrology

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DIVYA MOODALBAIL

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Divya Moodalbail's NPI number?

Where is the provider located?

What is the provider's specialty?