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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DIVYA GUTALA MD
NPI 1811741622
Internal Medicine in Richmond, VA

Active since April 16, 2024PECOS Enrolled
417 N 11TH ST, RICHMOND, VA 23298(804) 828-6685(804) 827-0543 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jun 22, 2025, Apr 16, 2024 (3 updates tracked since 2024).

About Divya Gutala Md NPPES

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

DIVYA GUTALA MD (NPI 1811741622) is an individual internal medicine provider in Richmond, Virginia, licensed in Virginia (0116039725) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811741622
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIVYA GUTALACredential: MD
Location Address417 N 11TH STRichmond, VA 23298-5024
Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(804) 828-6685
Fax(804) 827-0543
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1811741622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0116039725
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 0116039725 (VA)
417 N 11TH ST, Richmond, VA 23298
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Gutala 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JENNIFER J. COX AGACNP-BC
Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-4620
MATTHEW KELLER CAMPBELL MD
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9357
BAILEY RENAE PARSONS MD
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-8786
DR. FAIZAAN MOHAMMAD KHAN MD
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-0733
PRATYUSH NARAYAN MD, PHD, MS
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-8786
TAN TIMOTHY TRAN MD
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-0733
MEGAN BROOKE BIRMINGHAM
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 828-8786
JEFFREY SUNGJAE MUN
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298
Richmond City (804) 827-1204

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 Gutala's NPI number?

The NPI number for Divya Gutala is 1811741622. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Divya Gutala located?

Divya Gutala practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-6685.

What is Divya Gutala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Divya Gutala enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Divya Gutala was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.