NPPES file of Aug 9, 2026

Divya Koradia, MD

Family Medicine Physician · Erie, PA

Divya Koradia, MD is a family medicine physician with a practice address in Erie, Pennsylvania, and NPI 1134411051, issued on May 11, 2011. Check the license (Pennsylvania MD453203, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134411051
Name
Divya Koradia
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
MD453203 PA
Self-reported in NPPES; status is on the state search
Practice location
4247 W Ridge RD Ste 105, Erie, PA 16506
Phone
(814) 838-2468
Enumerated
May 11, 2011
Record last updated
Oct 5, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(814) 835-4301
Medicare enrollment
Enrolled (PECOS I20141201000905); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4247 W Ridge RD Ste 105

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Grace Digiacomo, PA-CPhysician Assistant1578434544
  2. Paul Gausman, DOFamily Medicine Physician1558346577
  3. Natalie Grow, RD, LDNRegistered Dietitian1386943983
  4. Jillian Halmi, D.O.Family Medicine Physician1508800459
  5. Maggie HoNurse Practitioner1235695511
  6. Christine Humphrey, MDFamily Medicine Physician1235367236

Verify Divya Koradia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD453203
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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49% more Medicare Part D claims than the average family medicine physician in 2024

5,276 Medicare Part D claims for 524 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 56 claims were for opioids.

  1. Divya Koradia5,276
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium522 claims
  2. Amlodipine Besylate270 claims
  3. Levothyroxine Sodium250 claims
  4. Lisinopril226 claims
  5. Losartan Potassium157 claims
  6. Gabapentin136 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $63.16

2 payments; by number, the most common kind was food and beverage; the largest payer was Edwards Lifesciences Corporation. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Divya Koradia$63.16
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Keystone Rehabilitation Systems IncErie, PA
  2. St Vincent Medical Education And Research Institute IncAlbion, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Divya Koradia among 7,483 family medicine physician records in Pennsylvania

Divya Koradia, MD is one of 7,483 family medicine physician records with a practice address in Pennsylvania. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 62% of them.

  • NPI issued2011 · 62% of these records are older, 36% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2007 · median 2005 among the 4,529 with a school on file
  • Record last updated2020 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

219 family medicine physician records list a practice address in Erie

They are 219 of the 5,083 NPPES records with a practice address in Erie, and 7,483 family medicine physician records in Pennsylvania.

The 8 family medicine physician records with the nearest ZIP codes

  1. Richard Cogley, MDErie, PA 165061790760601
  2. Richard Decker, MDErie, PA 165061457356016
  3. Paul Gausman, DOErie, PA 165061558346577
  4. Gene Groenendaal, DOErie, PA 165061407832777
  5. Kevin Kuric, MDErie, PA 165061922003581
  6. Mark Leone, DOErie, PA 165061326024993
  7. Thomas Masters, D.O.Erie, PA 165061437123981
  8. Thomas MathewErie, PA 165061932175957

Common questions

What is Divya Koradia, MD's NPI number?

Divya Koradia, MD's National Provider Identifier (NPI) is 1134411051, issued on May 11, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Divya Koradia, MD located?

The NPPES record lists a practice address at 4247 W Ridge RD Ste 105, Erie, PA, 16506. Phone: (814) 838-2468. Providers update this record themselves, so call before visiting.

How can I verify Divya Koradia, MD's license?

NPPES lists Pennsylvania license number MD453203, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Divya Koradia, MD prescribe under Medicare Part D?

In 2024, Divya Koradia, MD had 5,276 Medicare Part D claims for 524 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Divya Koradia, MD's MIPS final score?

The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.