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PRIYANKA PANKAJ PATEL M.D.
NPI 1083059992
Internal Medicine - Gastroenterology in Parma, OH

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
6707 POWERS BLVD, PARMA, OH 44129(440) 886-5558 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, May 20, 2019 (2 updates tracked since 2019).

About Priyanka Pankaj Patel M.d. NPPES

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

PRIYANKA PANKAJ PATEL M.D. (NPI 1083059992) is an individual gastroenterology provider in Parma, Ohio, licensed in Texas (Q9227) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1083059992
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRIYANKA PANKAJ PATELCredential: M.D.
Location Address6707 POWERS BLVDParma, OH 44129-5455
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800
Phone(440) 886-5558
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1083059992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · Q9227
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6707 POWERS BLVD, Parma, OH 44129
Open in Google Maps ↗

Secondary Practice Location 1

Location 1546 N Kegley RdTemple, TX 76502-4069 · Phone (254) 215-0900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Priyanka Pankaj Patel 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 ID345521209
PECOS Enrollment IDI20240224000278
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services47 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.
24 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services23 patients
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.
22 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44129 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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.

LORRI ANNE GALLION M.A
Audiologist
6707 POWERS BLVD, SUITE 202
PARMA, OH 44129
Cuyahoga County (440) 842-4800
KRISTINA DEPAOLO CARLIN D.O.
Pediatrics
6707 POWERS BLVD, SUITE 203
PARMA, OH 44129
Cuyahoga County (440) 845-1500
DANIEL ILTCHEV M.D.
Internal Medicine (Pulmonary Disease)
6707 POWERS BLVD, SUITE 106
PARMA, OH 44129
Cuyahoga County (440) 886-2509
GENERAL SURGERY ASSOCIATES INC
Surgery
6707 POWERS BLVD, SUITE 100
PARMA, OH 44129
Cuyahoga County (440) 886-1247
UNNI PK KUMAR MD INC
Internal Medicine (Gastroenterology)
6707 POWERS BLVD, SUITE 102
PARMA, OH 44129
Cuyahoga County (440) 886-5558
THERESA D AMICO NP
Internal Medicine (Pulmonary Disease)
6707 POWERS BLVD, 104
PARMA, OH 44129
Cuyahoga County (440) 886-2509
PARMA COMMUNITY SLEEP CENTER LLC
Clinic/Center (Sleep Disorder Diagnostic)
6707 POWERS BLVD, SUITE 105
PARMA, OH 44129
Cuyahoga County (440) 842-8400
JOSEPH SOPKO MD
Internal Medicine (Critical Care Medicine)
6707 POWERS BLVD, SUITE 106
PARMA, OH 44129
Cuyahoga County (440) 886-2509

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 Patel's NPI number?

The NPI number for Priyanka Patel is 1083059992. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Priyanka Patel located?

Priyanka Patel practices at 6707 Powers Blvd, Parma, OH 44129. The listed phone number is (440) 886-5558.

What is Priyanka Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Priyanka Patel enrolled in Medicare?

Yes. Priyanka Patel 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 Patel accept?

Health plans from Select Health list Priyanka Patel 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 Patel affiliated with any hospitals?

According to CMS data, Priyanka Patel is affiliated with Cleveland Clinic Martin North Hospital and Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Priyanka Patel was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.