DR. SHASHI RAJ DIVAKER M.D.
NPI 1275646218
Internal Medicine in Philadelphia, PA

NPI Status: Active since August 16, 2006

Contact Information

2840 W DAUPHIN ST
STRAWBERRY MANSION HEALTH CENTER
PHILADELPHIA, PA
ZIP 19132
Phone: (215) 685-2400
Fax: (215) 685-2440

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  • Individual
  • Male
  • Years of Experience 37
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHASHI DIVAKER

This page provides the complete NPI Profile along with additional information for Shashi Divaker, an internist established in Philadelphia, Pennsylvania with a medical specialization in Internal Medicine and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1275646218 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD065696L (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1275646218
Provider Name
DR. SHASHI RAJ DIVAKER M.D.
Gender
Male
Entity Type
Individual
Location Address
2840 W DAUPHIN ST STRAWBERRY MANSION HEALTH CENTER PHILADELPHIA, PA 19132
Location Phone
(215) 685-2400
Location Fax
(215) 685-2440
Mailing Address
500 S BROAD ST SUITE 360 PHILADELPHIA, PA 19146
Mailing Phone
(215) 685-6769
Mailing Fax
(215) 685-2440
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
08-16-2006
Last Update Date
07-08-2007
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An internist like Shashi Divaker is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD065696L
License State
PA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G87776MEDICARE UPIN (02)PA 
024520EVHMEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Shashi Divaker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shashi Divaker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668463944

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040524001360

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $34.29 for a new patient copayment and $26.3 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19132 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SHASHI RAJ DIVAKER M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275646218
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451241222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 2 + 2 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1275646218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003829524DR. AURORA DEE TIN M.D.
Individual
Pediatrics2840 W DAUPHIN ST STRAWBERRY MANSION HEALTH CENTER
PHILADELPHIA, PA 19132
(215) 685-2400
1124136007DR. TANYA DENICE MALONE D.O.
Individual
Family Medicine2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2403
1366550345DR. HELENA AKUA KWAKWA M.D.
Individual
Internal Medicine2840 W DAUPHIN ST STRAWBERRY MANSION HEALTH CENTER
PHILADELPHIA, PA 19132
(215) 685-2400
1073618625 EMMAH ANDY R.PH.
Individual
Pharmacist2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2419
1205998267MRS. JEANETTE L SKIPPER-THOMAS
Individual
Nurse Practitioner (Women's Health)2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2431
1407971930MS. DEBORAH HUFF MSN
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 427-5800
1326261330 ALMETTA L. BASS
Individual
Pharmacy Technician2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2419
1023286788DR. ELIZABETH ANN WENGER M.D.
Individual
Internal Medicine2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2401
1194102277 MINI ALEXANDER FNP
Individual
Nurse Practitioner (Family)2840 W DAUPHIN ST
PHILADELPHIA, PA 19132
(215) 685-2403
1417064353CITY OF PHILADELPHIA
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2840 W DAUPHIN ST STRAWBERRY MANSION HEALTH CTR
PHILADELPHIA, PA 19132
(215) 685-2403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275646218, enumerated in the NPI registry as an "individual" on August 16, 2006

The provider is located at 2840 W Dauphin St Strawberry Mansion Health Center Philadelphia, Pa 19132 and the phone number is (215) 685-2400

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 37 years of experience.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $137.17 with an average copayment of $34.29 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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