TATYANA DIVINO DO
NPI 1780812099
Family Medicine in Storrs, CT
About Tatyana Divino Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATYANA DIVINO DO (NPI 1780812099) is an individual family medicine provider in Storrs, Connecticut, licensed in Connecticut (052233) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marlborough, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Tatyana Divino Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tatyana Divino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Storrs, CT 06268
- Reassigned Medicare billing, Connecticut enrollment
- 7 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06268 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STORRS MANSFIELD, CT 06268
STORRS, CT 06268
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 Tatyana Divino's NPI number?
The NPI number for Tatyana Divino is 1780812099. It was assigned to this individual provider in the NPPES registry on June 25, 2009.
Where is Tatyana Divino located?
Tatyana Divino practices at 34 Proffessional Park Rd, Storrs, CT 06268. The listed phone number is (860) 487-0002.
What is Tatyana Divino's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tatyana Divino enrolled in Medicare?
Yes. Tatyana Divino 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 organizations bill Medicare for Tatyana Divino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Divino reassigns Medicare benefits to 2 organizations: Mansfield Family Practice LLC (Storrs, CT) and Hartford Healthcare Medical Group, Inc (Wethersfield, CT). Each 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 Tatyana Divino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tatyana Divino accept?
Health plans from Anthem Blue Cross and Blue Shield list Tatyana Divino 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 Tatyana Divino was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tatyana Divino, DO · NPI 1780812099
Family Medicine physician in Storrs, Connecticut. Individual provider, active in the CMS NPPES registry since June 25, 2009.
## Identity
- **NPI:** 1780812099 (Entity type: Individual)
- **Enumerated:** June 25, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 052233 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 34 PROFFESSIONAL PARK RD, Storrs, CT 06268-1659
- **Phone:** (860) 487-0002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mansfield Family Practice LLC (NPI 1265546956, Storrs, CT); Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780812099) · Data from the CMS NPPES public registry.