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Divya R Appiah, CNA

Certified Registered Nurse Anesthetist (Crna) · Alexandria

NPI 1295340446

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
2

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

2 locations · Northstar Anesthesia of Virginia, LLC · 407 clinicians in this group

Looking this up.

Hospitals listed: Inova Alexandria Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Divya R Appiah’s office to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Inova Alexandria HospitalAlexandria, VAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Inova Health System, which runs 5 hospitalsPatients rate it 3 of 5 · 73% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.3 (1.1 to 1.6) · 778 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.058, Oct 2024 – Sep 2025Better than the national rate — Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies): 9.7 (7.7 to 12.2) · 3,552 cases, Jan 2022 – Dec 2024
See every measure and the patient survey for Inova Alexandria Hospital

Behind the star rating — Deaths: 3 better, 4 the same, 0 worse of 7 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 6 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Inova Alexandria Hospital
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (1.1 to 1.6) · 778 casesWorseJan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections0.058BetterOct 2024 – Sep 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits9.7 (7.7 to 12.2) · 3,552 casesBetterJan 2022 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.99 (0.06 to 1.93) · 1,453 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.57 to 1.18)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths133.71 (84.18 to 183.24) · 78 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.6 · 125 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 198 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.7 · 522 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths9.3 · 526 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.2 · 274 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 2,802 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.23 (0.04 to 0.43) · 8,043 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.39) · 8,020 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.13 (1.15 to 5.11) · 1,310 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.48 (0 to 3.12) · 482 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.82 (0.29 to 3.36) · 1,233 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.31 (3.23 to 17.39) · 522 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.66 (3.12 to 10.2) · 496 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.64 (0.16 to 3.12) · 331 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.69) · 6,592 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 101 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.458No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.303No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.595No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 192 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits18.8 · 666 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits15 · 181 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-23.3 · 582 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-1 · 548 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.6 · 631 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.5 · 100 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.6 · 155 casesNoneJul 2023 – Jun 2025

What patients said (750 patients answered, 20% of those asked)

Patient survey stars by topic at Inova Alexandria Hospital
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Inova Alexandria Hospital
Room was "always" clean72%
Nurses "always" communicated well79%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night56%
"YES", patients would definitely recommend the hospital73%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$20,827

Medicare paid this office $20,827 for 225 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Anesthesia for lens surgery80$4,799$59
Anesthesia for procedure to assess heart electrical activity20$3,990$199
Anesthesia for other procedure on large bowel using an endoscope22$1,241$56

Who their Medicare patients are

225 Original Medicare patients in 2024. Average age 76 · Women 53% · Also on Medicaid 18% · Health risk score 1.30. At or below the middle of the specialty; the typical certified registered nurse anesthetist (crna) clinician is at 1.45.

Conditions among them: High blood pressure 72% · Coronary heart disease 41% · Diabetes 26% · Atrial fibrillation 26% · Depression 21% · Chronic kidney disease 20% · Cancer 20% · COPD 16% · Heart failure 13% · Stroke 13%.

The office billed $222,309, Medicare allowed $26,039 and paid $20,827; for 227 services of 42 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024225227761.30$222,309$20,827
2023203205741.31$223,783$22,980
2022228228741.19$213,024$24,501
20217071731.88$109,570$8,456

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Anesthesia for procedure to assess heart electrical activity30$6,231$208
Anesthesia for lens surgery25$1,510$60
Anesthesia for other procedure on large bowel using an endoscope21$1,180$56
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope11$666$61

2022: 6 services

Original Medicare services billed in 2022
Anesthesia for procedure to assess heart electrical activity24$5,211$217
Anesthesia for procedure on small and large bowel using an endoscope23$1,807$79
Anesthesia for lens surgery29$1,769$61
Anesthesia for other procedure on large bowel using an endoscope26$1,665$64
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope12$1,060$88
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope11$732$67

2021: 2 services

Original Medicare services billed in 2021
Anesthesia for lens surgery17$1,416$79
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope13$1,086$84

Money from drug and device companies

$33 in 2023

A payment is not proof that care is biased.

Payments by company
Takeda Pharmaceuticals U.S.A.Gattex$33
1 payment
  • Meals for Gattex · 2023-02-07 · $33
See the published payment
Every published payment
Takeda Pharmaceuticals U.S.A.Meals · 2023-02-07Gattex$33

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
84.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1295340446
Licence
CA 95001494, CA 95097135, NY 830315
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 367500000X (367500000X); Federal specialty code 163W00000X (163W00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2020-09-14
NPI last updated
2022-01-04
NPI record certified
2022-01-04

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1088 Cheshire Cir, Danville, CA, 94506