IndividualActive
Divya Madhusudhan
NPI 1639675572 · Pediatric Anesthesiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1639675572
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (800) 879-2467
Street-level locationGet directions
Mailing address
5217 Tulip Leaf Ct
Centreville, VA 20120-6112
Registry dates
- Enumerated
- 2018-03-31
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.