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DR. PRIYANKA KALAPURAYIL GIMBEL MD
NPI 1033559117
Family Medicine in Wauwatosa, WI

Active since July 03, 2013PECOS EnrolledAccepts Medicare Assignment
3289 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 771-7900(414) 607-6336 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Jul 24, 2024, Jan 28, 2022 and 3 more (6 updates tracked since 2016).

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

NPI1033559117
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRIYANKA KALAPURAYIL GIMBELCredential: MD
Location Address3289 N MAYFAIR RDWauwatosa, WI 53222-3203
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 771-7900
Fax(414) 607-6336
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 3, 2013
Last NPPES UpdateAugust 20, 20246 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1033559117 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 · 67773✔ Licensed in IL · 036140310
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.
3289 N MAYFAIR RD, Wauwatosa, WI 53222
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Other Names 1

Former Name (1)Dr. Priyanka S Kalapurayil Md

Secondary Practice Location 1

Location 1Knowledge Health, 298 Fifth Ave, FL 7New York, NY 10001 · Phone (516) 210-6767 · Fax (646) 350-0525

Other Identifiers 1

Medicaid100070233WI

Accepted Insurance

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

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.

PECOS PAC ID9335449248
PECOS Enrollment IDI20170907002202
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.

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.

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.

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.

GEETHA GANESAN M.D.
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
HAROON ZUBAIR M.D.
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
ANKUR N PATEL MD
Internal Medicine
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
APRIL STUDER BISCOCHO WEBER FNP-BC
Nurse Practitioner (Family)
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
ADVANCED HEALTHCARE, S.C.
Durable Medical Equipment & Medical Supplies
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
NAVA LALEHZARI
Obstetrics & Gynecology
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
MICHAEL THOMAS TRAINOR PA
Physician Assistant
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900
NOEL JONES FNP-BC
Nurse Practitioner
3289 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 771-7900

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.

What insurance does Priyanka Gimbel accept?

Health plans from CareSource (Common Ground Healthcare) 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 23 months 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.