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DR. PRIYANKA SINGH YADAV D.O.
NPI 1063633402
Pediatrics - Sleep Medicine in Hillsborough, NJ

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
331 US HIGHWAY 206, HILLSBOROUGH, NJ 08844(908) 231-6180(908) 231-6148 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Priyanka Singh Yadav D.o. NPPES

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

DR. PRIYANKA SINGH YADAV D.O. (NPI 1063633402) is an individual sleep medicine provider in Hillsborough, New Jersey, licensed in New Jersey (25MB08511500) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).

NPPES Registry Identity

NPI1063633402
Entity TypeIndividualFemale
Primary Taxonomy2080S0012X
Provider Legal NameDR. PRIYANKA SINGH YADAVCredential: D.O.
Location Address331 US HIGHWAY 206Hillsborough, NJ 08844-4781
Mailing Address331 Us Highway 206Hillsborough, NJ 08844-4781 · (908) 231-6180 · Fax (908) 231-6148
Phone(908) 231-6180
Fax(908) 231-6148
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1063633402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0012X
License✔ Licensed in NJ · 25MB08511500
Definition
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPediatricsTaxonomy 208000000X · License 240001 (NY)
331 US HIGHWAY 206, Hillsborough, NJ 08844
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN161637NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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 Singh Yadav D.o. 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 ID5597816538
PECOS Enrollment IDI20090702000122
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Priyanka Yadav reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert Wood Johnson Physician Enterprise
6.2 mi
Family Medicine
3 EXECUTIVE DRIVE, SUITE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
NPI 1245587922 (732) 369-5994
Barnabas Health Medical Group PC
24 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Sleep Dynamics
37 mi
Sleep Medicine
2240 STATE ROUTE 33, SUITE 114
Neptune City, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1164887071 (732) 455-3988

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
255 services210 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.
224 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
52 services49 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
30 services29 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers484 claims484 services$30.84 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers293 claims293 services$69.97 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers238 claims672 services$27.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers153 claims897 services$14.46 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers78 claims455 services$11.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers293 claims293 services$42.86 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 4

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

MS. LAUREN ERCOLE RDN
Dietitian, Registered
331 US HIGHWAY 206
HILLSBOROUGH, NJ 08844
Somerset County (908) 431-0600
BH OBGYN, LLC
Obstetrics & Gynecology
331 US HIGHWAY 206
HILLSBOROUGH, NJ 08844
Somerset County (732) 729-7658
MEDICOR LIFESTYLE MEDICINE, P.A
Registered Nurse (Cardiac Rehabilitation)
331 US HIGHWAY 206
HILLSBOROUGH, NJ 08844
Somerset County (908) 243-5004
MEDICOR LIFESTYLE MEDICINE, P.A
Dietitian, Registered
331 US HIGHWAY 206
HILLSBOROUGH, NJ 08844
Somerset County (908) 243-5004

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 Yadav's NPI number?

The NPI number for Priyanka Yadav is 1063633402. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Priyanka Yadav located?

Priyanka Yadav practices at 331 Us Highway 206, Hillsborough, NJ 08844. The listed phone number is (908) 231-6180.

What is Priyanka Yadav's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Priyanka Yadav enrolled in Medicare?

Yes. Priyanka Yadav 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 Yadav's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Yadav reassigns Medicare benefits to 3 organizations: Robert Wood Johnson Physician Enterprise (Somerset, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Sleep Dynamics (Neptune City, NJ). 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 Yadav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Yadav accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Priyanka Yadav 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 Priyanka Yadav affiliated with any hospitals?

According to CMS data, Priyanka Yadav is affiliated with Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Priyanka Yadav was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.