DIVYARADHA KRISHNAN SEETHAPATHY MD
NPI 1902548381
Family Medicine in San Jose, CA

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
6475 CAMDEN AVE STE 105, SAN JOSE, CA 95120(408) 997-9155 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Apr 7, 2022 (2 updates tracked since 2022).

About Divyaradha Krishnan Seethapathy Md NPPES

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

DIVYARADHA KRISHNAN SEETHAPATHY MD (NPI 1902548381) is an individual family medicine provider in San Jose, California, licensed in California (A205066) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902548381
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIVYARADHA KRISHNAN SEETHAPATHYCredential: MD
Location Address6475 CAMDEN AVE STE 105San Jose, CA 95120-2847
Mailing Address6475 Camden Ave Ste 105San Jose, CA 95120-2847 · (408) 997-9155
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 7, 2022
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1902548381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A205066
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6475 CAMDEN AVE STE 105, San Jose, CA 95120

Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 686-8820

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

Divyaradha Krishnan Seethapathy Md 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 ID9931589298
PECOS Enrollment IDI20251017003598
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 95120 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 7

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

Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Physician Assistant
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120
Family Medicine
6475 CAMDEN AVE STE 105
SAN JOSE, CA 95120

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 Divyaradha Krishnan Seethapathy's NPI number?

The NPI number for Divyaradha Krishnan Seethapathy is 1902548381. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Divyaradha Krishnan Seethapathy located?

Divyaradha Krishnan Seethapathy practices at 6475 Camden Ave Ste 105, San Jose, CA 95120. The listed phone number is (408) 997-9155.

What is Divyaradha Krishnan Seethapathy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Divyaradha Krishnan Seethapathy enrolled in Medicare?

Yes. Divyaradha Krishnan Seethapathy 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 Divyaradha Krishnan Seethapathy was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.