DIVYA AGRAWAL (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1386806115

DIVYA AGRAWAL (M.D.) is a healthcare provider. based in Westchester, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 036.136600 (IL). The NPI Number for DIVYA AGRAWAL (M.D.) is 1386806115

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DIVYA AGRAWAL (M.D.)
NPI
1386806115
Phone
(708) 236-2600
Address
1 WESTBROOK CORPORATE CTR STE 240
Enumeration Date
2 July 2008
Last Update Date
14 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8776326637
Graduation Year
2005 (21 years ago)
PAC ID
9830245950
Group Practice PAC ID
0749183713
Professional Enrollment ID
I20170724000543
Address ID
IL606124861CH1611XSTXX409
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

589 PHYSICAL MEDICINE AND REHABILITATION in NJ

Provider Addresses for DIVYA AGRAWAL (M.D.)

  • Westbrook Corporate Center, Westchester, Proviso Township, Cook County, Illinois, United States

    WESTCHESTER, IL 601545745

    Phone: (708) 236-2600

    Type: Mailing

  • 739 Bloomfield St

    Hoboken, NJ 070305000

    Phone: (832) 607-3304

    Fax: (201) 533-9299

    Type: Location

  • West Harrison Street, Printer's Row, Loop, Chicago, Cook County, Illinois, 60604, United States

    CHICAGO, IL 60612

    Phone: (312) 432-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2023-10-14 • Largest payer in this snapshot: Boston Scientific Corporation ($67).

Total Amount

$105

General + Research + Ownership

Payments

3

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170724000543IPhysical Medicine And RehabilitationILTBD
I20201119002086IPhysical Medicine And RehabilitationINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg461224$0
99214Established patient office or other outpatient visit, 30-39 minutes225174$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level211166$0
J1100Injection, dexamethasone sodium phosphate, 1 mg19996$0
99204New patient office or other outpatient visit, 45-59 minutes178178$0
View full utilization report →

Insurance plans in this area (ZIP 60154)

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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: 0749183713View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Family Practice, Sports MedicineIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeTN
-IL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Physician AssistantWI
Physician AssistantIL
-WI

Reviews

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Frequently asked questions

What is the standard ID for DIVYA AGRAWAL (M.D.) in the U.S.?
In the U.S., DIVYA AGRAWAL (M.D.) is identified by NPI 1386806115.
Is DIVYA AGRAWAL (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DIVYA AGRAWAL (M.D.) as active.
What type of care does DIVYA AGRAWAL (M.D.) provide?
DIVYA AGRAWAL (M.D.)'s profile centers on Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DIVYA AGRAWAL (M.D.)?
DIVYA AGRAWAL (M.D.) is associated with Westchester, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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