DIVYA LAKSHMI KOLLI PA-C
NPI 1811340391
Physician Assistant - Medical in Yuba City, CA

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
935 MARKET ST, YUBA CITY, CA 95991(530) 674-4261(530) 674-4269 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divya Lakshmi Kolli Pa-c NPPES

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

DIVYA LAKSHMI KOLLI PA-C (NPI 1811340391) is an individual medical provider in Yuba City, California, licensed in California (53445) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811340391
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDIVYA LAKSHMI KOLLICredential: PA-C
Location Address935 MARKET STYuba City, CA 95991-4217
Mailing Address935 Market StYuba City, CA 95991-4217 · (530) 674-4261 · Fax (530) 674-4269
Fax(530) 674-4269
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 19, 2016
Last NPPES UpdateMay 31, 2019
NPI 1811340391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 53445
935 MARKET ST, Yuba City, CA 95991

Other Names 1

Former Name (1)Divya Lakshmi Pandurangadu Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Divya Lakshmi Kolli Pa-c 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 ID6507153772
PECOS Enrollment IDI20170605002231
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers29 claims79 services$4.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims28 services$0.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$73.20 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 7

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

Nurse Practitioner
935 MARKET ST
YUBA CITY, CA 95991
Dental Hygienist
935 MARKET ST
YUBA CITY, CA 95991
Counselor (Addiction (Substance Use Disorder))
935 MARKET ST
YUBA CITY, CA 95991
Family Medicine
935 MARKET ST
YUBA CITY, CA 95991
Nurse Practitioner (Family)
935 MARKET ST
YUBA CITY, CA 95991
Clinic/Center (Federally Qualified Health Center (FQHC))
935 MARKET ST
YUBA CITY, CA 95991
Psychiatry & Neurology (Psychiatry)
935 MARKET ST
YUBA CITY, CA 95991

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 Kolli's NPI number?

The NPI number for Divya Kolli is 1811340391. It was assigned to this individual provider in the NPPES registry on July 19, 2016. The provider is also known as Divya Lakshmi Pandurangadu Pa-C.

Where is Divya Kolli located?

Divya Kolli practices at 935 Market St, Yuba City, CA 95991. The listed phone number is (530) 674-4261.

What is Divya Kolli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Divya Kolli enrolled in Medicare?

Yes. Divya Kolli 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.

When was this NPI record last updated?

The NPPES record for Divya Kolli was last updated on May 31, 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.