DR. DIVYA JOSEPH AICKARA (MD) – MOHS-Micrographic Surgery Physician, NPI 1154940690

DR. DIVYA JOSEPH AICKARA (MD) is a healthcare provider. based in Valrico, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME169912 (FL). The NPI Number for DR. DIVYA JOSEPH AICKARA (MD) is 1154940690

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIVYA JOSEPH AICKARA (MD)
NPI
1154940690
Phone
(813) 751-9040
Address
4527 SWIFT CIR
Enumeration Date
14 April 2020
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7722175362
Graduation Year
2020 (6 years ago)
PAC ID
7517486889
Group Practice PAC ID
2961733803
Professional Enrollment ID
I20250529002469
Address ID
FL329587524SE8745X1XXX500

Contacts

Secure Messaging
daickara@dmp.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. DIVYA JOSEPH AICKARA (MD)

  • 4527 SWIFT CIR

    VALRICO, FL 335967277

    Phone: (813) 751-9040

    Type: Mailing

  • 4197 WOODLANDS PKWY

    PALM HARBOR, FL 346853493

    Phone: (813) 333-1512

    Fax: (813) 333-1561

    Type: Mailing

  • 600 Lakeview Rd Ste A

    Clearwater, FL 337563355

    Phone: (727) 250-1115

    Fax: (727) 475-9015

    Type: Location

  • 4197 Woodlands Pkwy

    Palm Harbor, FL 346853493

    Phone: (727) 778-6381

    Fax: (727) 786-3855

    Type: Location

  • 5310 Clark Rd Ste 201

    Sarasota, FL 342333229

    Phone: (941) 925-3627

    Fax: (866) 405-4932

    Type: Location

  • 11601 SHELDON RD

    TAMPA, FL 336264306

    Phone: (813) 324-6630

    Fax: (813) 926-1500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $3,898.

Total Amount is formed as General ($3,898) + Research ($0) + Ownership ($0) = $3,898.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($891).

Total Amount

$3,898

General + Research + Ownership

Payments

49

Total payment records

General Amount

$3,898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250529002469IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33596)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961733803View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerNH
Physician AssistantFL
Physician AssistantCA
D E R M A T O L O G YFL
Nurse PractitionerIL
Physician AssistantFL
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for DR. DIVYA JOSEPH AICKARA (MD) in U.S. healthcare records?
The official identifier for DR. DIVYA JOSEPH AICKARA (MD) is NPI 1154940690.
Is DR. DIVYA JOSEPH AICKARA (MD) shown as active in public data?
Registry records indicate DR. DIVYA JOSEPH AICKARA (MD) maintains an active NPI.
What area of care is associated with DR. DIVYA JOSEPH AICKARA (MD)?
DR. DIVYA JOSEPH AICKARA (MD)'s record emphasizes MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. DIVYA JOSEPH AICKARA (MD) registered?
Use Valrico, Florida as the headline location for DR. DIVYA JOSEPH AICKARA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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