Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003349713 Individual Practitioner Female Practitioner

Dr. Divya Vangala , MD

Pediatrics • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Dr. Divya Vangala, MD is a registered healthcare professional specializing in Pediatrics in Somerville, MA. Practice services are available at 33 TOWER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33 Tower St

Somerville, MA 021431426

Telephone 6175916300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Somerville, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 293243

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2020-02955

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Md License
2020-02955 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Ana Hernandez

Registered Nurse

NPI 1134561780
Barbara Stephen , RN

Registered Nurse - Ambulatory Care

NPI 1154624203

Registered Nurse

Jyothi Ravindra

Internal Medicine

NPI 1154731537
Lynne Crawford , NP

Nurse Practitioner

NPI 1174698377

Nurse Practitioner

Dr. Laura Trueman , MD

Student in an Organized Health Care Education/Training Program

NPI 1174987333

Doctor of Medicine (M.D.)

Silvia Travis

Counselor - Mental Health

NPI 1184287526

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 02, 2022

Registered at 33 TOWER ST, SOMERVILLE, MA 021431426 (Tel: 6175916300)

📍
Updated Business Mailing Address May 02, 2022

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391099

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Pediatrics (License #2020-02955 in NC)

NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2017

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605459970)

📍
Updated Business Mailing Address April 10, 2017

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060301921

👤
Provider Name / Credentials Updated April 10, 2017

Recorded as DIVYA VANGALA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003349713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2017
Last Update: August 11, 2022
Sole Proprietor: No

Mailing Address

1493 Cambridge St

Cambridge, MA 021391099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.