DR. DIVYA MIRCHANDANI – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1114332392

DR. DIVYA MIRCHANDANI is a healthcare provider. based in Houston, Texas. specializing in PEDIATRIC MEDICINE. They hold a License No. R3383 (TX). The NPI Number for DR. DIVYA MIRCHANDANI is 1114332392

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIVYA MIRCHANDANI
NPI
1114332392
Phone
(713) 500-7412
Address
6431 FANNIN STREET
Enumeration Date
25 June 2014
Last Update Date
29 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7149973000
Graduation Year
2014 (12 years ago)
PAC ID
2466723655
Group Practice PAC ID
0840185005
Professional Enrollment ID
I20211130002882
Address ID
CA928684203OR1201XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for DR. DIVYA MIRCHANDANI

  • 6431 FANNIN STREET

    SUITE JJL 341

    HOUSTON, TX 770303609

    Phone: (713) 500-7412

    Fax: (713) 500-0758

    Type: Mailing

  • 6431 FANNIN ST STE JJL 431

    HOUSTON, TX 77030

    Phone: (713) 500-7878

    Fax: (713) 500-0758

    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: 2021-11-30

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
I20170807001433IPediatric MedicineTXTBD
I20211130002882IPediatric MedicineCATBD

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 77030)

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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: 0840185005View full group profile
NameSpecialtyState
Emergency MedicineOR
Emergency MedicineCA
-CA
Emergency MedicineMO
Pediatric MedicineMI
-CA
Pediatric Medicine, Emergency MedicineCA
Emergency MedicineCA
Pediatric MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to DR. DIVYA MIRCHANDANI?
The federal identifier for DR. DIVYA MIRCHANDANI is NPI 1114332392.
Is DR. DIVYA MIRCHANDANI's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. DIVYA MIRCHANDANI's specialty in plain language?
Clinically, the directory lists DR. DIVYA MIRCHANDANI with Pediatric Emergency Medicine (Pediatrics) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DIVYA MIRCHANDANI's primary listing?
We display Houston, Texas because that is what the record indicates for DR. DIVYA MIRCHANDANI.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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