DR. PRIYANKA KALAPURAYIL GIMBEL MD
NPI 1033559117
Family Medicine in Wauwatosa, WI
About Dr. Priyanka Kalapurayil Gimbel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYANKA KALAPURAYIL GIMBEL MD (NPI 1033559117) is an individual family medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (67773) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Priyanka Kalapurayil Gimbel 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.
Medicare Billing Reassignments
3Medicare enrollment records show Priyanka Gimbel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUWATOSA, WI 53222
WAUWATOSA, WI 53222
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 Priyanka Gimbel's NPI number?
The NPI number for Priyanka Gimbel is 1033559117. It was assigned to this individual provider in the NPPES registry on July 3, 2013. The provider is also known as Dr. Priyanka S Kalapurayil MD.
Where is Priyanka Gimbel located?
Priyanka Gimbel practices at 3289 N Mayfair Rd, Wauwatosa, WI 53222. The listed phone number is (414) 771-7900.
What is Priyanka Gimbel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Priyanka Gimbel enrolled in Medicare?
Yes. Priyanka Gimbel 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.
Which organizations bill Medicare for Priyanka Gimbel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Gimbel reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (West Allis, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priyanka Gimbel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priyanka Gimbel accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Priyanka Gimbel 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.
When was this NPI record last updated?
The NPPES record for Priyanka Gimbel was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Priyanka Kalapurayil Gimbel, MD · NPI 1033559117
Family Medicine physician in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since July 3, 2013.
## Identity
- **NPI:** 1033559117 (Entity type: Individual)
- **Enumerated:** July 3, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 67773 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3289 N MAYFAIR RD, Wauwatosa, WI 53222-3203
- **Phone:** (414) 771-7900 · **Fax:** (414) 607-6336
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 20, 2024
- **Other identifiers:** Medicaid 100070233 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1033559117) · Data from the CMS NPPES public registry.