PRIYA VIKASH NEGANDHI MD
NPI 1013336171
Internal Medicine in Stuart, FL

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
200 SE HOSPITAL AVE, STUART, FL 34994(772) 223-5618(772) 288-5834 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2018, Mar 17, 2018, Jan 24, 2017 (3 updates tracked since 2017).

About Priya Vikash Negandhi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYA VIKASH NEGANDHI MD (NPI 1013336171) is an individual internal medicine provider in Stuart, Florida, licensed in Florida (ME132504) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1013336171
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYA VIKASH NEGANDHICredential: MD
Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-2832 · Fax (772) 288-5834
Fax(772) 288-5834
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 12, 20183 updates tracked since enumeration
NPI 1013336171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME132504
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 SE HOSPITAL AVE, Stuart, FL 34994

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486

Other Identifiers 2

Medicaid022141900FL
OtherTC8DNFL · Florida Blue

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Priya Vikash Negandhi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426331695
PECOS Enrollment IDI20171013000667
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Innovamatrix ac, per square centimeter A2001
Innovamatrix ac, per square centimeter, is a process where a special matrix is applied to your skin to aid in healing. This matrix, made of natural materials, helps your body produce new skin cells, accelerating recovery. It's like a supportive net for your skin's renewal.
2,418 services31 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
167 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
47 services47 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers37 claims37 services$17.16 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers49 claims49 services$89.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE, ANESTHESIA DEPARTMENT
STUART, FL 34994
Pathology (Anatomic Pathology & Clinical Pathology)
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Internal Medicine (Pulmonary Disease)
200 SE HOSPITAL AVE
STUART, FL 34994
Emergency Medicine
200 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priya Negandhi's NPI number?

The NPI number for Priya Negandhi is 1013336171. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Priya Negandhi located?

Priya Negandhi practices at 200 SE Hospital Ave, Stuart, FL 34994. The listed phone number is (772) 223-5618.

What is Priya Negandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priya Negandhi enrolled in Medicare?

Yes. Priya Negandhi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Priya Negandhi accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Priya Negandhi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Priya Negandhi affiliated with any hospitals?

According to CMS data, Priya Negandhi is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Priya Negandhi was last updated on November 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.