MS. PRIYA RAMDASS M.D
NPI 1023458171
Family Medicine in Mount Pleasant, WI

Q: What is Priya Ramdass's NPI number?

The NPI number for Priya Ramdass is 1023458171. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Q: What is Priya Ramdass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Ramdass was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2013PECOS EnrolledAccepts Medicare Assignment

8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(262) 321-3000(262) 321-3011 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2021, Sep 14, 2016 (2 updates tracked since 2016).

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About Ms. Priya Ramdass M.d NPPES

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

MS. PRIYA RAMDASS M.D (NPI 1023458171) is an individual family medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (66036-20) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023458171

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. PRIYA RAMDASSCredential: M.D

Location Address8400 WASHINGTON AVEMount Pleasant, WI 53406-3735

Mailing Address8400 Washington AveMount Pleasant, WI 53406-3735 · (262) 321-3170

Phone(262) 321-3000

Fax(262) 321-3011

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 2, 2013

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1023458171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 66036-20✔ Licensed in IL · 125063552

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8400 WASHINGTON AVE, Mount Pleasant, WI 53406

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Other Identifiers 1

Medicaid1023458171WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz.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

Ms. Priya Ramdass M.d 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 ID2769779370

PECOS Enrollment IDI20160926001813, I20180213000005

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 7

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

132 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

108 services54 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

MRS. NANDITA BATCHRA MD

Otolaryngology