VIDITA M DIVAN (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1043625445

VIDITA M DIVAN (MD) is a healthcare provider. based in Topeka, Kansas. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 04-43416 (KS). The NPI Number for VIDITA M DIVAN (MD) is 1043625445

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
VIDITA M DIVAN (MD)
NPI
1043625445
Phone
Not provided
Address
1500 SW 10TH AVE
Enumeration Date
24 June 2014
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853549591
Graduation Year
2011 (15 years ago)
PAC ID
3577846518
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20200709003306
Address ID
KS666062806TO3520XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
vdivan101735@stormontvaildirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

60 ENDOCRINOLOGY in KS

Provider Addresses for VIDITA M DIVAN (MD)

  • 1500 SW 10TH AVE

    MEDICAL STAFF SERVICES

    TOPEKA, KS 66604

    Phone:

    Type: Mailing

  • 3520 SW 6TH AVE

    TOPEKA, KS 666062806

    Phone: (785) 354-9591

    Fax: (785) 354-0542

    Type: Location

  • 1102 Saint Marys Rd

    Junction City, KS 664414139

    Phone: (785) 238-0325

    Fax: (785) 576-1113

    Type: Location

  • 1500 SW 10th Ave

    Topeka, KS 666041301

    Phone: (785) 354-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-09

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
I20200709003306IEndocrinologyKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes591309$0
36415Insertion of needle into vein for collection of blood sample534284$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report8141$0
99213Established patient office or other outpatient visit, 20-29 minutes5753$0
82043Urine microalbumin (protein) level5653$0
View full utilization report →

Insurance plans in this area (ZIP 66604)

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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: 5496659195View full group profile
NameSpecialtyState
-KS
-KS
-KS
Physician AssistantKS
-KS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do payers reference VIDITA M DIVAN (MD)?
For VIDITA M DIVAN (MD), use NPI 1043625445 as the unique 10-digit identifier.
Is VIDITA M DIVAN (MD) shown as active in public data?
Registry records indicate VIDITA M DIVAN (MD) maintains an active NPI.
How would a patient describe VIDITA M DIVAN (MD)'s focus?
For VIDITA M DIVAN (MD), the primary taxonomy reads as Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where in Kansas is VIDITA M DIVAN (MD) registered?
Use Topeka, Kansas as the headline location for VIDITA M DIVAN (MD) here.
When was this NPI issued?
Enumeration for VIDITA M DIVAN (MD) is noted as June 24, 2014 where the registry provides it.

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