DR. ABHAY ASHOK DIVEKAR (MD, MBBS) – Pediatric Cardiology Physician, NPI 1215125208

DR. ABHAY ASHOK DIVEKAR (MD, MBBS) is a healthcare provider. based in Dallas, Texas. specializing in Pediatric Cardiology Physician. They hold the professional credentials MD, MBBS. They hold a License No. 04-39416 (KS). The NPI Number for DR. ABHAY ASHOK DIVEKAR (MD, MBBS) is 1215125208

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABHAY ASHOK DIVEKAR (MD, MBBS)
NPI
1215125208
Phone
Not provided
Address
5323 HARRY HINES BLVD STOP 7200
Enumeration Date
4 October 2007
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702982273
Graduation Year
1995 (31 years ago)
PAC ID
4082702139
Group Practice PAC ID
6709776651
Professional Enrollment ID
I20190513001683
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:18State licenses:5Digital endpointsOther names

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Provider Addresses for DR. ABHAY ASHOK DIVEKAR (MD, MBBS)

  • 5323 HARRY HINES BLVD STOP 7200

    DALLAS, TX 753909063

    Phone:

    Type: Mailing

  • High Street, Denver, Denver County, Colorado, 80209, United States

    DENVER, CO 802055555

    Phone: (720) 754-1000

    Fax: (816) 302-9939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $2,909.

Total Amount is formed as General ($2,909) + Research ($0) + Ownership ($0) = $2,909.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Medtronic, Inc. ($1,563).

Total Amount

$2,909

General + Research + Ownership

Payments

34

Total payment records

General Amount

$2,909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2021-10-12

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
I20211012003350IPediatric MedicineTXTBD

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 75390)

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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: 6709776651View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YAK
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ABHAY ASHOK DIVEKAR (MD, MBBS)?
DR. ABHAY ASHOK DIVEKAR (MD, MBBS) — NPI 1215125208 — is the standard way to identify this listing.
Is DR. ABHAY ASHOK DIVEKAR (MD, MBBS) still practicing?
DR. ABHAY ASHOK DIVEKAR (MD, MBBS) is currently listed as active in the public NPI registry.
What healthcare role does DR. ABHAY ASHOK DIVEKAR (MD, MBBS) hold?
Scheduling teams often label DR. ABHAY ASHOK DIVEKAR (MD, MBBS) under Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ABHAY ASHOK DIVEKAR (MD, MBBS) based?
DR. ABHAY ASHOK DIVEKAR (MD, MBBS) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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