Dr Divya Krishnamoorthy, MD - Medicare Psychiatry & Neurology in San Dimas, CA

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Dr Divya Krishnamoorthy, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in San Dimas, California. Her current practice location is 762 Cypress St, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 599-1227.

Dr Divya Krishnamoorthy is licensed to practice in California (license number C54901) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194742825.

Contact Information

Dr Divya Krishnamoorthy, MD
762 Cypress St,
San Dimas, CA 91773-3505
(909) 599-1227
(206) 299-9789

Map and Direction




Physician's Profile

Full NameDr Divya Krishnamoorthy
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location762 Cypress St, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194742825
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830192871
  • Enrollment ID: I20180522000365

Medical Identifiers

Medical identifiers for Dr Divya Krishnamoorthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194742825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry C54901 (California)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry C54901 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Divya Krishnamoorthy allows following entities to bill medicare on her behalf.
Entity NameFort Bidwell Indian Community
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093931107
PECOS PAC ID: 5890960355
Enrollment ID: O20111212000333
Entity NameQuartz Valley Indian Reservation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306062419
PECOS PAC ID: 8325147457
Enrollment ID: O20160912000057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Divya Krishnamoorthy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Divya Krishnamoorthy, MD
Po Box 3222,
Rancho Santa Fe, CA 92067-3222

Ph: (206) 965-0030		Dr Divya Krishnamoorthy, MD
762 Cypress St,
San Dimas, CA 91773-3505

Ph: (909) 599-1227

Reviews and Comments


Psychiatry & Neurology Doctors in San Dimas, CA

Habib Ali Ismail, MD
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Phone: 909-592-2145    Fax: 909-599-6217
Dr. Hanumantharao Damerla, M.D.,
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Mohsen Ibrahim Ali, MD
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Practice Location: 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773
Phone: 909-592-2145    Fax: 909-599-6217
Joshua Kritsada Koh, M.D.
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Practice Location: 1173 N Dixie Dr, Suite 101, San Dimas, CA 91773
Phone: 909-599-4422    Fax: 909-599-5577

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.