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DR. DIVAKAR MITHAL M.D., PH.D.
NPI 1992122410
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Chicago, IL

Active since March 21, 2014PECOS Enrolled
225 E CHICAGO AVE DEPT OF, CHICAGO, IL 60611(312) 227-3550(312) 227-9450 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Divakar Mithal M.d., Ph.d. NPPES

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

DR. DIVAKAR MITHAL M.D., PH.D. (NPI 1992122410) is an individual neurology with special qualifications in child neurology provider in Chicago, Illinois, licensed in Illinois (036.147516) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992122410
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. DIVAKAR MITHALCredential: M.D., PH.D.
Location Address225 E CHICAGO AVE DEPT OFChicago, IL 60611-2991
Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-3550 · Fax (312) 227-9450
Phone(312) 227-3550
Fax(312) 227-9450
Sole ProprietorYes
Enumeration DateMarch 21, 2014
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1992122410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in IL · 036.147516
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
225 E CHICAGO AVE DEPT OF, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Divakar Mithal M.d., Ph.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Divakar Mithal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
Same address
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Divakar Mithal's NPI number?

The NPI number for Divakar Mithal is 1992122410. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Divakar Mithal located?

Divakar Mithal practices at 225 E Chicago Ave Dept Of, Chicago, IL 60611. The listed phone number is (312) 227-3550.

What is Divakar Mithal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Divakar Mithal enrolled in Medicare?

Yes. Divakar Mithal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Divakar Mithal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divakar Mithal reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). The 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 Divakar Mithal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Divakar Mithal was last updated on September 5, 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.