PRIYA PHULWANI MD
NPI 1104020031
Pediatrics - Pediatric Endocrinology in Hartford, CT

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
282 WASHINGTON ST, HARTFORD, CT 06106(860) 545-9370(860) 545-9371 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priya Phulwani Md NPPES

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

PRIYA PHULWANI MD (NPI 1104020031) is an individual pediatric endocrinology provider in Hartford, Connecticut, licensed in Connecticut (041833) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1999).

NPPES Registry Identity

NPI1104020031
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NamePRIYA PHULWANICredential: MD
Location Address282 WASHINGTON STHartford, CT 06106-3322
Mailing Address282 Washington StHartford, CT 06106-3322 · (860) 545-9370 · Fax (860) 545-9376
Fax(860) 545-9371
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1999
Enumeration DateJune 13, 2007
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1104020031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in CT · 041833
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 041833 (CT)
282 WASHINGTON ST, Hartford, CT 06106

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

Priya Phulwani 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 ID8426142555
PECOS Enrollment IDI20070920000491
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 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers74 claims75 services$175.03 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 20

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

Pediatrics (Pediatric Cardiology)
282 WASHINGTON ST
HARTFORD, CT 06106
Pediatrics
282 WASHINGTON ST
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Pediatrics (Neonatal-Perinatal Medicine)
282 WASHINGTON ST
HARTFORD, CT 06106
Pediatrics (Pediatric Pulmonology)
282 WASHINGTON ST
HARTFORD, CT 06106
Physician Assistant (Surgical)
282 WASHINGTON ST
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
282 WASHINGTON ST
HARTFORD, CT 06106

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 Priya Phulwani's NPI number?

The NPI number for Priya Phulwani is 1104020031. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Priya Phulwani located?

Priya Phulwani practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9370.

What is Priya Phulwani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Priya Phulwani enrolled in Medicare?

Yes. Priya Phulwani 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.

When was this NPI record last updated?

The NPPES record for Priya Phulwani was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.