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KANNEGANTI DIVYA MD
NPI 1861912511
Pediatrics in Boston, MA

Active since June 23, 2017PECOS Enrolled
243 CHARLES ST, BOSTON, MA 02114(617) 573-3992(617) 573-3559 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 14, 2026, Jun 23, 2017 (2 updates tracked since 2017).

About Kanneganti Divya Md NPPES

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

KANNEGANTI DIVYA MD (NPI 1861912511) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (285729) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mineola.

NPPES Registry Identity

NPI1861912511
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKANNEGANTI DIVYACredential: MD
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address276 1st St Apt 1jMineola, NY 11501-2366 · (781) 606-1710
Phone(617) 573-3992
Fax(617) 573-3559
Sole ProprietorNo
Enumeration DateJune 23, 2017
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1861912511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 285729
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
243 CHARLES ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Mineola Blvd Ste 210Mineola, NY 11501-4077 · Phone (516) 663-4600 · Fax (516) 663-3008

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanneganti Divya 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 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

CARLA PETERSEN AU.D., CCC-A
Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 573-3266
DR. SULEMAN IMRAN KHAN MD
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-4443
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548

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 Kanneganti Divya's NPI number?

The NPI number for Kanneganti Divya is 1861912511. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Kanneganti Divya located?

Kanneganti Divya practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-3992.

What is Kanneganti Divya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kanneganti Divya enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kanneganti Divya was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.